Graduated: 2024
NPI: 1609565845
Practice Locations (2)
UNIVERSITY OF WYOMING
2710 HARNEY ST, SUITE 202 204
LARAMIE, WY 820723038
3074315055
IVINSON MEMORIAL HOSPITAL
3116 WILLETT DR
LARAMIE, WY 820725048
3077426319
Source: CMS National Downloadable File, September 2026.