Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 2020
NPI: 1366071227
Practice Locations (3)
TANNER MEMORIAL CLINIC
2121 N 1700
LAYTON, UT 840418803
8017734840
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320001
8015812121
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8012132995
Source: CMS National Downloadable File, September 2026.