Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1992
NPI: 1518938059
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
595 W LAKE MEAD PKWY
HENDERSON, NV 890157015
7025665500
Source: CMS National Downloadable File, September 2026.