Medical school: MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, DOWNERS GROVE
Graduated: 2022
NPI: 1194430157
Practice Locations (1)
ADA WEST DERMATOLOGY, P.C.
1618 S MILLENIUM WAY, SUITE 100
MERIDIAN, ID 836426457
2088843376
Source: CMS National Downloadable File, September 2026.