Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 1990
NPI: 1235226770
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
4500 W OAKEY BLVD
LAS VEGAS, NV 891021527
7028735110
Source: CMS National Downloadable File, September 2026.