Graduated: 2007
NPI: 1104075092
Practice Locations (2)
UNIVERSITY OF UTAH ADULT SERVICES
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 841125500
8015812121
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8012132995
Source: CMS National Downloadable File, September 2026.