Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2014
NPI: 1780002774
Practice Locations (2)
KINGMAN HEALTHCARE INC
1739 E BEVERLY AVE, SUITE 214
KINGMAN, AZ 864093593
9286818734
PRIME CARDIOLOGY GROUP
2911 N TENAYA WAY, SUITE 104
LAS VEGAS, NV 891280488
7028055678
Source: CMS National Downloadable File, September 2026.