Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2004
NPI: 1568570729
Practice Locations (4)
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
UNIVERSITY OF UTAH ADULT SERVICES
590 S WAKARA WAY
SALT LAKE CITY, UT 841081200
8015877109
UNIVERSITY OF UTAH ADULT SERVICES
1200 COLLEGE DR
ROCK SPRINGS, WY 829015868
8015813495
Source: CMS National Downloadable File, September 2026.