Medical school: KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated: 2012
NPI: 1841566023
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
321 N NELLIS BLVD, SUITE 110
LAS VEGAS, NV 891105416
7024384003
Source: CMS National Downloadable File, September 2026.