Graduated: 2018
NPI: 1255890646
Practice Locations (2)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
4880 WYNN RD
LAS VEGAS, NV 891035406
7028715005
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
8595 S DECATUR BLVD, SUITE 108
LAS VEGAS, NV 891397006
7029481130
Source: CMS National Downloadable File, September 2026.