Medical school: ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated: 2014
NPI: 1629493069
Practice Locations (3)
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
HIGHWAY 191 AND HOSPITAL RD
CHINLE, AZ 865038000
92867470307030
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015856387
UNIVERSITY OF UTAH ADULT SERVICES
1200 COLLEGE DR
ROCK SPRINGS, WY 829015868
8015813495
Source: CMS National Downloadable File, September 2026.