Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1770157950
Practice Locations (2)
4000 S 700 E, SUITE 9
Salt Lake City, UT 841072581
4000 S 700, SUITE 9
SALT LAKE CITY, UT 841072581
Source: CMS National Downloadable File, September 2026.