Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1996
NPI: 1144281122
Practice Locations (3)
SAN JUAN COUNTY HOSPITAL
380 W 100
MONTICELLO, UT 845350308
4355872116
SAN JUAN COUNTY HOSPITAL
380 W 100, PO BOX 308
MONTICELLO, UT 845350308
OGDEN CLINIC PC
4650 HARRISON BLVD
OGDEN, UT 844034303
8014753010
Source: CMS National Downloadable File, September 2026.