Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1619662012
Practice Locations (2)
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015856387
UNIVERSITY OF UTAH ACUITY CARE SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015814314
Source: CMS National Downloadable File, September 2026.