Graduated: 2012
NPI: 1912260456
Practice Locations (2)
UNIVERSITY OF UTAH ADULT SERVICES
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 841320005
8015812352
PACIFIC NORTHWEST RETINA PLLC
3105 OLD FAIRHAVEN PKWY, SUITE C
BELLINGHAM, WA 982258213
2062153850
Source: CMS National Downloadable File, September 2026.