Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 2011
NPI: 1093004202
Practice Locations (2)
NORTHEASTERN UTAH MEDICAL GROUP
210 W 300
ROOSEVELT, UT 840662336
4357224691
NORTHEASTERN UTAH MEDICAL GROUP
250 W 300
ROOSEVELT, UT 840662336
Source: CMS National Downloadable File, September 2026.