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Doctors / UT
FAMILY PRACTICE
Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 2001
NPI: 1427021724
4618 W BIRDIE WAY
SOUTH JORDAN, UT 840092793
500 E MAIN ST, SUITE 1301
NORFOLK, VA 235102206
Source: CMS National Downloadable File, September 2026.