Graduated: 2021
NPI: 1336812551
Practice Locations (2)
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8012132995
UNIVERSITY OF UTAH ADULT SERVICES
590 S WAKARA WAY
SALT LAKE CITY, UT 841081200
8015877109
Source: CMS National Downloadable File, September 2026.