Graduated: 1995
NPI: 1366628356
Practice Locations (2)
UTAH STATE UNIVERSITY
6405 OLD MAIN HILL
LOGAN, UT 843226405
4357970290
SPRINGCREEK MEDICAL CENTER PC
267 N SPRING CREEK PKWY
PROVIDENCE, UT 843329775
4357929400
Source: CMS National Downloadable File, September 2026.