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Doctors / UT
PEDIATRIC MEDICINE
Medical school: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1982774642
1055 N 500, ATTN CREDENTIALING
Provo, UT 846043305
1055 N 500
PROVO, UT 846043305
Source: CMS National Downloadable File, September 2026.