Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1891799839
Practice Locations (2)
2001 ERRECART BLVD
ELKO, NV 898018333
7757482159
2376 N 400, SUITE 101
TOOELE, UT 840743413
4358438333
Source: CMS National Downloadable File, September 2026.