Graduated: 2020
NPI: 1780200253
Practice Locations (2)
MARY HITCHCOCK MEMORIAL HOSPITAL
18 OLD ETNA RD
LEBANON, NH 037661937
6036504000
DERMATOLOGY DIVISION UNIVERSITY OF UTAH MEDICAL CENTER
50 N MEDICAL DR
SALT LAKE CITY, UT 841320001
8015876340
Source: CMS National Downloadable File, September 2026.