Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1700894383
Practice Locations (1)
IHC HEALTH SERVICES INC
370 E 9TH AVE, SUITE 205
SALT LAKE CITY, UT 841033184
8014086100
Source: CMS National Downloadable File, September 2026.