Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1558394783
Practice Locations (2)
REVERE HEALTH PC
1492 E RIDGELINE DR, SUITE 2
SOUTH OGDEN, UT 844054103
8018660170
NORTH LINCOLN COUNTY HOSPITAL DISTRICT
904 ADAMS ST
AFTON, WY 831109621
3078854873
Source: CMS National Downloadable File, September 2026.