Graduated: 2001
NPI: 1720191216
Practice Locations (2)
IHC HEALTH SERVICES INC
5121 S COTTONWOOD ST
MURRAY, UT 841075701
8015074800
TELLICA IMAGING - WASHINGTON LLC
2941 S 38TH ST, SUITE E
TACOMA, WA 984095647
2535348689
Source: CMS National Downloadable File, September 2026.