Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1740238708
Practice Locations (4)
PO BOX, SUITE 913001
DENVER, CO 802913001
5665 NEW NORTHSIDE DR
ATLANTA, GA 303284699
P O BOX, SUITE 3930
SALT LAKE CITY, UT 841103930
150 W CIVIC CTR DR, SUITE 200
SANDY, UT 840704230
Source: CMS National Downloadable File, September 2026.