Medical school: ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated: 2022
NPI: 1760113260
Practice Locations (2)
HALIFAX HEALTHCARE SYSTEMS INC
303 N CLYDE MORRIS BLVD
DAYTONA BCH, FL 321142709
3862544000
IHC HEALTH SERVICES INC
1501 HILAND AVE
BURLEY, ID 833182688
2086784444
Source: CMS National Downloadable File, September 2026.