Graduated: 2012
NPI: 1972855088
Practice Locations (3)
NORTHEASTERN UTAH MEDICAL GROUP
210 W 300
ROOSEVELT, UT 840662336
4357224691
NORTHEASTERN UTAH MEDICAL GROUP
250 W 300
ROOSEVELT, UT 840662336
UINTAH BASIN MEDICAL CENTER
250 W 300, 75 2
ROOSEVELT, UT 840662336
4357224691
Source: CMS National Downloadable File, September 2026.