Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1990
NPI: 1366407488
Practice Locations (2)
UNIVERSITY OF UTAH ADULT SERVICES
590 S WAKARA WAY
SALT LAKE CITY, UT 841081200
8015877109
HOT SPRINGS COUNTY HOSPITAL DISTRICT
1125 CHARLES AVE
WORLAND, WY 824014021
3073472449612300
Source: CMS National Downloadable File, September 2026.