Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2018
NPI: 1629561196
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS WEST LLC
1233 E 2ND ST
CASPER, WY 826012926
8008227201
BANNER HEALTH PHYSICIANS WEST LLC
419 S WASHINGTON ST, SUITE 201B
CASPER, WY 826012951
3075770477
Source: CMS National Downloadable File, September 2026.