Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 2011
NPI: 1093088122
Practice Locations (2)
LEIDENIX PC
1400 SKYLINE BLVD, SUITE 1
BISMARCK, ND 585031613
7012554117
LEIDENIX PC
1000 OLD RED TRAIL NW
MANDAN, ND 58554
Source: CMS National Downloadable File, September 2026.