Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2009
NPI: 1770712879
Practice Locations (4)
TELLICA IMAGING LLC
8505 W OVERLAND RD
BOISE, ID 837091644
2084175100
IHC HEALTH SERVICES INC
5323 S WOODROW ST, SUITE 101
MURRAY, UT 841075843
8013134118
TELLICA IMAGING LLC
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 841131103
2084175100
TELLICA IMAGING - WASHINGTON LLC
2941 S 38TH ST, SUITE E
TACOMA, WA 984095647
2535348689
Source: CMS National Downloadable File, September 2026.