Graduated: 2025
NPI: 1831044650
Practice Locations (3)
2200 PASEO VERDE PKWY, SUITE 190
HENDERSON, NV 890522701
3201 S MARYLAND PKWY, SUITE 101
LAS VEGAS, NV 891092423
5615 CORIUM CT
LAS VEGAS, NV 891228383
Source: CMS National Downloadable File, September 2026.