Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2003
NPI: 1295891687
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
1000 S RAINBOW BLVD, SUITE 240
LAS VEGAS, NV 891456231
7022590088
Source: CMS National Downloadable File, September 2026.