Graduated: 2022
NPI: 1457979080
Practice Locations (2)
INTERMOUNTAIN MEDICAL GROUP DENVER LLC
8350 COLORADO BLVD, UNIT 160
FIRESTONE, CO 805046803
3036731370
HAWAII PERMANENTE MEDICAL GROUP INC
3288 MOANALUA RD
HONOLULU, HI 968191469
8084320000
Source: CMS National Downloadable File, September 2026.