Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1619082070
Practice Locations (2)
PO BOX, SUITE 299
SALT LAKE CITY, UT 84110
PO BOX, SUITE 299
SALT LAKE CITY, UT 841100299
Source: CMS National Downloadable File, September 2026.