Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1997
NPI: 1528166931
Practice Locations (1)
MILLCREEK ANESTHESIA PC
1200 E 3900, ST MARKS HOSPITAL
SALT LAKE CITY, UT 841241300
8012687111
Source: CMS National Downloadable File, September 2026.