Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1999
Also: PEDIATRIC MEDICINE
NPI: 1558384388
Practice Locations (2)
UNIVERSITY OF UTAH PEDIATRIC SERVICES
2985 CORTEZ AVE
IDAHO FALLS, ID 834047554
2085224600
UNIVERSITY OF UTAH PEDIATRIC SERVICES
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 841131103
8015877109
Source: CMS National Downloadable File, September 2026.