Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1994
NPI: 1275647596
Practice Locations (3)
368 N 780
Lindon, UT 840422519
368 N 780
LINDON, UT 840422519
1355 N UNIVERSITY AVE, SUITE 125
PROVO, UT 846042722
8012663095
Source: CMS National Downloadable File, September 2026.