Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2011
NPI: 1033405485
Practice Locations (5)
TELLICA IMAGING LLC
8505 W OVERLAND RD
BOISE, ID 837091644
2084175100
IHC HEALTH SERVICES INC
5121 S COTTONWOOD ST
MURRAY, UT 841075701
TELLICA IMAGING LLC
5217 S STATE ST, SUITE 200
MURRAY, UT 841074812
2084175100
IHC HEALTH SERVICES INC
1380 E MEDICAL CTR DR
ST GEORGE, UT 847902123
4352511000
TELLICA IMAGING - WASHINGTON LLC
2941 S 38TH ST, SUITE E
TACOMA, WA 984095647
2535348689
Source: CMS National Downloadable File, September 2026.