Medical school: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2024
NPI: 1710746219
Practice Locations (3)
1208 KING ST, SUITE 405
CHATTANOOGA, TN 374034352
PO BOX, SUITE 27128
SALT LAKE CITY, UT 84127
PO BOX, SUITE 27128
SALT LAKE CITY, UT 841270128
Source: CMS National Downloadable File, September 2026.