Graduated: 2009
NPI: 1720302680
Practice Locations (2)
SPRINGVILLE DERMATOLOGY AND DIAGNOSTICS PC
1355 N UNIVERSITY AVE, SUITE 160
PROVO, UT 846042723
8017047001
SPRINGVILLE DERMATOLOGY AND DIAGNOSTICS PC
732 N MAIN ST
SPRINGVILLE, UT 846631034
8017047001
Source: CMS National Downloadable File, September 2026.