Medical school: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated: 2022
NPI: 1386394302
Practice Locations (2)
515 E 100, SUITE 200
SALT LAKE CITY, UT 841022095
PO BOX, SUITE 299
SALT LAKE CITY, UT 84110
Source: CMS National Downloadable File, September 2026.