Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1998
NPI: 1720049133
Practice Locations (1)
IHC HEALTH SERVICES INC
1157 N 300, SUITE 301
PROVO, UT 846046124
8017143422
Source: CMS National Downloadable File, September 2026.