Graduated: 2013
NPI: 1679906481
Practice Locations (4)
NORTHEASTERN UTAH MEDICAL GROUP
210 W 300
ROOSEVELT, UT 840662336
4357224691
NORTHEASTERN UTAH MEDICAL GROUP
250 W 300
ROOSEVELT, UT 840662336
NORTHEASTERN UTAH MEDICAL GROUP
405 N 500
VERNAL, UT 840781907
4357896203
NORTHEASTERN UTAH MEDICAL GROUP
475 N 500
VERNAL, UT 840781907
4357812030
Source: CMS National Downloadable File, September 2026.