Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1988
NPI: 1023057296
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
100 N GREEN VALLEY PKWY, SUITE 240
HENDERSON, NV 890747704
7029330088
Source: CMS National Downloadable File, September 2026.