Graduated: 2020
NPI: 1689295404
Practice Locations (2)
UNIVERSITY OF UTAH SPECIALTY SERVICES
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 841125500
8015850100
UNIVERSITY OF UTAH SPECIALTY SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015876336
Source: CMS National Downloadable File, September 2026.