Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 2023
NPI: 1992400030
Practice Locations (2)
127 S 500, SUITE 220
SALT LAKE CITY, UT 841021982
PO BOX, SUITE 299
SALT LAKE CITY, UT 84110
Source: CMS National Downloadable File, September 2026.