Graduated: 2011
NPI: 1265720205
Practice Locations (3)
UINTAH BASIN MEDICAL CENTER
210 W 300
Roosevelt, UT 840662336
UINTAH BASIN MEDICAL CENTER
250 W 300, 75 2
ROOSEVELT, UT 840662336
4357224691
NORTHEASTERN UTAH MEDICAL GROUP
379 N 500
VERNAL, UT 840781956
4357812030
Source: CMS National Downloadable File, September 2026.