Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1997
Offers telehealth
NPI: 1730171232
Practice Locations (1)
HUNTSMAN SPINAL CLINIC INC
1220 E 3900, SUITE 3G
SALT LAKE CITY, UT 841241326
8013467788
Source: CMS National Downloadable File, September 2026.