Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1993
NPI: 1134106784
Practice Locations (1)
UINTAH BASIN TRI-COUNTY MENTAL HEALTH AND SUBSTANCE ABUSE LOCAL AUTHOR
285 W 800
ROOSEVELT, UT 840663707
4357256300
Source: CMS National Downloadable File, September 2026.