Medical school: ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated: 2019
NPI: 1912566266
Practice Locations (3)
515 E 100, SUITE 200
SALT LAKE CITY, UT 841022095
37532 19TH WAY S
Federal Way, WA 980037590
PO BOX, SUITE 5299
TACOMA, WA 98415
Source: CMS National Downloadable File, September 2026.