Medical school: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated: 2023
NPI: 1992409114
Practice Locations (3)
127 S 500, SUITE 220
SALT LAKE CITY, UT 841021982
PO BOX, SUITE 299
SALT LAKE CITY, UT 84110
3288 W VALLEY HOME AVE
West Valley City, UT 841195139
Source: CMS National Downloadable File, September 2026.