Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1922010925
Practice Locations (1)
OGDEN CLINIC SPECIALTY SERVICES LLC
4403 HARRISON BLVD, SUITE 1875
OGDEN, UT 844033325
8017325900
Source: CMS National Downloadable File, September 2026.