Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2005
NPI: 1235264169
Practice Locations (2)
REVERE HEALTH PC
1175 E 50, SUITE 211
AMERICAN FORK, UT 840032845
8014180807
IHC HEALTH SERVICES INC
1034 N 500
PROVO, UT 846043380
8013574423
Source: CMS National Downloadable File, September 2026.