Graduated: 2016
NPI: 1013369123
Practice Locations (2)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
4880 WYNN RD
LAS VEGAS, NV 891035406
7028715005
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
6380 N DECATUR BLVD, SUITE 215
LAS VEGAS, NV 891308004
7029481145
Source: CMS National Downloadable File, September 2026.