Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2002
Also: GENERAL SURGERY
NPI: 1205040664
Practice Locations (2)
INTENSIVE CARE CONSORTIUM INC
1200 E 3900
SALT LAKE CITY, UT 841241300
5619970821
URGENT SPECIALTY ASSOCIATES OF UTAH PLLC
1200 E 3900
SALT LAKE CITY, UT 841241300
8012687111
Source: CMS National Downloadable File, September 2026.