Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1992742951
Practice Locations (1)
IHC HEALTH SERVICES INC
324 E 10TH AVE, SUITE 178
SALT LAKE CITY, UT 841032885
8014088500
Source: CMS National Downloadable File, September 2026.