Graduated: 1993
NPI: 1649214867
Practice Locations (6)
TELLICA IMAGING LLC
8505 W OVERLAND RD
BOISE, ID 837091644
2084175100
TELLICA IMAGING LLC
345 AMHERST ST, SUITE 3
NASHUA, NH 030631754
6107727252
TELLICA IMAGING LLC
5217 S STATE ST, SUITE 200
MURRAY, UT 841074812
2084175100
IHC HEALTH SERVICES INC
8 TH AVE AND C ST, LDS HOSP EEG PHYS GRP
SALT LAKE CITY, UT 84143
8015077000
IHC HEALTH SERVICES INC
1380 E MEDICAL CTR DR
ST GEORGE, UT 847902123
4352511000
TELLICA IMAGING - WASHINGTON LLC
2941 S 38TH ST, SUITE E
TACOMA, WA 984095647
2535348689
Source: CMS National Downloadable File, September 2026.