Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1437151917
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
9499 W CHARLESTON BLVD, SUITE 150
LAS VEGAS, NV 891177147
7022285477
Source: CMS National Downloadable File, September 2026.