Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2004
NPI: 1639218662
Practice Locations (1)
IHC HEALTH SERVICES INC
2400 N WASHINGTON BLVD
NORTH OGDEN, UT 844147233
4357921770
Source: CMS National Downloadable File, September 2026.