Medical school: INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduated: 2017
NPI: 1669255378
Practice Locations (1)
BEACON THERAPY OF UTAH
5677 S REDWOOD RD, UNIT 18
TAYLORSVILLE, UT 841235454
8017421011
Source: CMS National Downloadable File, September 2026.