Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1982
NPI: 1811933500
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
3131 LA CANADA ST, SUITE 200
LAS VEGAS, NV 891692579
7023695582
Source: CMS National Downloadable File, September 2026.