Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1994
NPI: 1275557977
Practice Locations (1)
IHC HEALTH SERVICES INC
3845 W 4700
TAYLORSVILLE, UT 841293454
8018402101
Source: CMS National Downloadable File, September 2026.