Medical school: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1215948799
Practice Locations (1)
OGDEN CLINIC SPECIALTY SERVICES LLC
4403 HARRISON BLVD, SUITE 1815
OGDEN, UT 844033339
8017325900
Source: CMS National Downloadable File, September 2026.