Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1922012830
Practice Locations (1)
UNIVERSITY OF UTAH SPECIALTY SERVICES
50 N MEDICAL DR, UNIVERSITY OF UTAH HOSPTIAL
SALT LAKE CITY, UT 841320100
8015876336
Source: CMS National Downloadable File, September 2026.