Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2020
NPI: 1790305043
Practice Locations (1)
ST MARK'S GYNECOLOGY ONCOLOGY CARE LLC
96 E KIMBALLS LN, SUITE 202
DRAPER, UT 840205021
8015233053
Source: CMS National Downloadable File, September 2026.