Graduated: 2020
NPI: 1588254122
Practice Locations (3)
2480 E TOMPKINS AVE, SUITE 201
Las Vegas, NV 891217394
2480 E TOMPKINS AVE
LAS VEGAS, NV 891215466
2480 E TOMPKINS AVE, SUITE 201
LAS VEGAS, NV 891217394
7257242005
Source: CMS National Downloadable File, September 2026.