Medical school: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1659406288
Practice Locations (3)
TELLICA IMAGING LLC
8505 W OVERLAND RD
BOISE, ID 837091644
2084175100
IHC HEALTH SERVICES INC
5444 S GREEN ST, SUMMIT PHYSICIAN SPECIALISTS
MURRAY, UT 841235632
8015257770
TELLICA IMAGING - WASHINGTON LLC
2941 S 38TH ST, SUITE E
TACOMA, WA 984095647
2535348689
Source: CMS National Downloadable File, September 2026.