Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1912005489
Practice Locations (1)
MILLCREEK ANESTHESIA PC
1200 E 3900, ST MARKS HOSPITAL
SALT LAKE CITY, UT 841241300
8012687111
Source: CMS National Downloadable File, September 2026.