Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2019
NPI: 1821581935
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
745 S GREEN VALLEY PKWY, SUITE 160
HENDERSON, NV 890520459
7029401530
Source: CMS National Downloadable File, September 2026.