Graduated: 2012
NPI: 1336584861
Practice Locations (2)
REVERE HEALTH PC
4095 E PONY EXPRESS PKWY, SUITE 1
EAGLE MOUNTAIN, UT 840055531
8014298037
IHC HEALTH SERVICES INC
454 E MEDICAL WAY
HEBER CITY, UT 840321391
8015551515
Source: CMS National Downloadable File, September 2026.