Graduated: 2021
NPI: 1144845108
Practice Locations (2)
UNIVERSITY OF UTAH SURGICAL SERVICES
175 N MEDICAL DR, UNIVERSITY OF UTAH DEPARTMENT OF NE
SALT LAKE CITY, UT 841321103
8015857575
UNIVERSITY OF UTAH SURGICAL SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320001
Source: CMS National Downloadable File, September 2026.