Graduated: 2015
NPI: 1205281292
Practice Locations (2)
BEAVER MEDICAL GROUP P C
2 W FERN AVE
REDLANDS, CA 923735916
9097933311
OPTUM MEDICAL GROUP II RHODES P C
4750 W OAKEY BLVD
LAS VEGAS, NV 891021535
7025793253
Source: CMS National Downloadable File, September 2026.