Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2021
NPI: 1811571771
Practice Locations (2)
PO BOX, SUITE 27128
SALT LAKE CITY, UT 84127
PO BOX, SUITE 30180
SALT LAKE CITY, UT 84130
Source: CMS National Downloadable File, September 2026.