Graduated: 2019
NPI: 1154974657
Practice Locations (4)
UINTAH BASIN MEDICAL CENTER
210 W 300
Roosevelt, UT 840662336
NORTHEASTERN UTAH MEDICAL GROUP
210 W 300
ROOSEVELT, UT 840662336
4357224691
NORTHEASTERN UTAH MEDICAL GROUP
250 W 300
ROOSEVELT, UT 840662336
UINTAH BASIN MEDICAL CENTER
250 W 300, 75 2
ROOSEVELT, UT 840662336
4357224691
Source: CMS National Downloadable File, September 2026.