Graduated: 1997
NPI: 1629021647
Practice Locations (2)
UNIVERSITY OF UTAH ADULT SERVICES
165 N UNIVERSITY AVE
FARMINGTON, UT 840252990
8015816709
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8012132995
Source: CMS National Downloadable File, September 2026.