Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated: 2014
NPI: 1851536262
Practice Locations (2)
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
INTERMOUNTAIN MEDICAL GROUP DENVER LLC
8350 COLORADO BLVD, UNIT 160
FIRESTONE, CO 805046803
3036731370
Source: CMS National Downloadable File, September 2026.