Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2015
NPI: 1174134860
Practice Locations (2)
1872 S 1600
SALT LAKE CITY, UT 841053872
275 E S TEMPLE, SUITE 320
SALT LAKE CITY, UT 841111247
8014861272
Source: CMS National Downloadable File, September 2026.