Graduated: 2006
NPI: 1538371133
Practice Locations (3)
EPIPHANY DERMATOLOGY OF MONTANA PLLC
815 N 5TH AVE, UNIT 202
BOZEMAN, MT 597152884
4065452555
SANFORD MEDICAL CENTER FARGO
4656 40TH AVE S
FARGO, ND 581044397
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.