Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 2012
NPI: 1093078495
Practice Locations (1)
MILLCREEK ANESTHESIA PC
1200 E 3900, ST MARKS HOSPITAL
SALT LAKE CITY, UT 841241300
8012687111
Source: CMS National Downloadable File, September 2026.