Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1225615925
Practice Locations (2)
515 E 100, SUITE 200
SALT LAKE CITY, UT 841022095
PO BOX, SUITE 299
SALT LAKE CITY, UT 84110
Source: CMS National Downloadable File, September 2026.