Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1306511357
Practice Locations (3)
IHC HEALTH SERVICES INC
1034 N 500
PROVO, UT 846043380
IHC HEALTH SERVICES INC
8 TH AVE AND C ST, LDS HOSP EEG PHYS GRP
SALT LAKE CITY, UT 84143
8015077000
GRANGER MEDICAL CLINIC PC
2965 W 3500
WEST VALLEY CITY, UT 841193602
8019653600
Source: CMS National Downloadable File, September 2026.