Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1993
Offers telehealth
NPI: 1194769604
Practice Locations (1)
OGDEN CLINIC SPECIALTY SERVICES LLC
4403 HARRISON BLVD, SUITE 1815
OGDEN, UT 844033339
8017325900
Source: CMS National Downloadable File, September 2026.