Medical school: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated: 2011
Also: UROLOGY
NPI: 1982994042
Practice Locations (2)
UNIVERSITY OF UTAH PEDIATRIC SERVICES
3100 CHANNING WAY
IDAHO FALLS, ID 834047533
2085296111
UNIVERSITY OF UTAH PEDIATRIC SERVICES
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 841131103
8015877109
Source: CMS National Downloadable File, September 2026.