Graduated: 2021
NPI: 1710638374
Practice Locations (2)
12226 S 1000, SUITE 8
DRAPER, UT 840203211
8016941743
UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
1525 W 2100
SALT LAKE CITY, UT 841191407
8012139900
Source: CMS National Downloadable File, September 2026.