Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 2005
NPI: 1295817708
Practice Locations (4)
BEAVER MEDICAL, LLC
PO BOX, SUITE 1690
Beaver, UT 847131690
BEAVER MEDICAL, LLC
1059 N 100
BEAVER, UT 847137758
4354387280
BEAVER MEDICAL, LLC
PO BOX, SUITE 1690
BEAVER, UT 847131690
BEAVER MEDICAL, LLC
850 N MAIN
MILFORD, UT 847510640
4353872471
Source: CMS National Downloadable File, September 2026.