Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 2012
NPI: 1699035741
Practice Locations (1)
UNIVERSITY OF UTAH ADULT SERVICES
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 841320005
8015812352
Source: CMS National Downloadable File, September 2026.