Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1999
Offers telehealth
NPI: 1497741383
Practice Locations (2)
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320001
8015812121
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8012132995
Source: CMS National Downloadable File, September 2026.