Graduated: 1995
NPI: 1609862051
Practice Locations (2)
MT GRANT GENERAL HOSPITAL
200 S A ST
HAWTHORNE, NV 894151510
7759452461
SOUTH LYON HEALTH CENTER INC
213 S WHITACRE ST
YERINGTON, NV 894472561
7754632301
Source: CMS National Downloadable File, September 2026.