Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1447839873
Practice Locations (4)
1208 KING ST, SUITE 405
CHATTANOOGA, TN 374034352
515 E 100, SUITE 200
SALT LAKE CITY, UT 841022095
PO BOX, SUITE 27128
SALT LAKE CITY, UT 84127
PO BOX, SUITE 30180
SALT LAKE CITY, UT 84130
Source: CMS National Downloadable File, September 2026.