Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1437247582
Practice Locations (2)
UNIVERSITY OF UTAH PEDIATRIC SERVICES
110 VISTA DR
POCATELLO, ID 832015824
8012133599
UNIVERSITY OF UTAH PEDIATRIC SERVICES
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 841131125
8012133599
Source: CMS National Downloadable File, September 2026.