Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1497702252
Practice Locations (2)
IHC HEALTH SERVICES INC
1034 N 500, UVH PSYCH DEPT
PROVO, UT 846043380
8013577850
UTAH SURGICAL ASSOCIATES INC
3550 N UNIVERSITY AVE, SUITE 250
PROVO, UT 846046685
8013749625
Source: CMS National Downloadable File, September 2026.