Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1366651671
Practice Locations (1)
IHC HEALTH SERVICES INC
8 TH AVE AND C ST, LDS HOSP EEG PHYS GRP
SALT LAKE CITY, UT 84143
8015077000
Source: CMS National Downloadable File, September 2026.