Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 1998
NPI: 1174633408
Practice Locations (4)
REVERE HEALTH PC
1055 N 500, ATT CREDENTIALING
Provo, UT 846043305
IHC HEALTH SERVICES INC
1034 N 500
PROVO, UT 846043380
8013578879
REVERE HEALTH PC
1055 N 500
PROVO, UT 846043305
REVERE HEALTH PC
512 E LAKEVIEW PKWY
PROVO, UT 846067311
8018125591
Source: CMS National Downloadable File, September 2026.