Graduated: 2015
NPI: 1932590957
Practice Locations (3)
UNIVERSITY OF UTAH ADULT SERVICES
FAIRFIELD, CA 94533
8015812121
STANFORD HEALTH CARE
300 PASTEUR DR
STANFORD, CA 943052200
6507234000
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015856387
Source: CMS National Downloadable File, September 2026.