Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2005
NPI: 1336341312
Practice Locations (2)
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015856387
UNIVERSITY OF UTAH ADULT SERVICES
1200 COLLEGE DR
ROCK SPRINGS, WY 829015868
8015813495
Source: CMS National Downloadable File, September 2026.