Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1194797738
Practice Locations (2)
ST MARKS PROFESSIONAL SERVICES LLC
1200 E 3900
SALT LAKE CITY, UT 841241300
8014769200
IHC HEALTH SERVICES INC
324 E 10TH AVE, SUITE 178
SALT LAKE CITY, UT 841032885
8014088500
Source: CMS National Downloadable File, September 2026.