Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1588651152
Practice Locations (2)
ONEIDA COUNTY HOSPITAL
220 BANNOCK ST
MALAD CITY, ID 832525068
2087662600
OGDEN CLINIC SPECIALTY SERVICES LLC
4650 HARRISON BLVD
OGDEN, UT 844034303
8014753482
Source: CMS National Downloadable File, September 2026.