Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 2003
NPI: 1275684276
Practice Locations (2)
UNIVERSITY OF UTAH ADULT SERVICES
ROCKVILLE, MD 20852
8015812121
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015856387
Source: CMS National Downloadable File, September 2026.