Medical school: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1215940465
Practice Locations (1)
IHC HEALTH SERVICES INC
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 841131103
8014870451
Source: CMS National Downloadable File, September 2026.