Graduated: 2015
NPI: 1144607656
Practice Locations (3)
BANNER-UNIVERSITY MEDICAL GROUP
1625 N CAMPBELL AVE
TUCSON, AZ 857194330
5206940111
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015856387
UNIVERSITY OF UTAH ACUITY CARE SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015814314
Source: CMS National Downloadable File, September 2026.