Medical school: ROSEMAN UNIV OF HLTH SCIENCES, COL OF DENTAL MED
Graduated: 2025
NPI: 1801771027
Practice Locations (2)
CANYON VIEW MEDICAL GROUP LLC
1429 S 1600
MAPLETON, UT 846644348
8018533700
REVERE HEALTH PC
1055 N 500
PROVO, UT 846043305
8018125033
Source: CMS National Downloadable File, September 2026.