Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2016
NPI: 1154775062
Practice Locations (1)
MILLCREEK ANESTHESIA PC
1200 E 3900, ST MARKS HOSPITAL
SALT LAKE CITY, UT 841241300
8012687111
Source: CMS National Downloadable File, September 2026.