Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2007
NPI: 1023235058
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
1801 16TH ST
GREELEY, CO 806315154
9708104593
POCATELLO HEALTH SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082391720
Source: CMS National Downloadable File, September 2026.