Graduated: 1996
Offers telehealth
NPI: 1982884912
Practice Locations (3)
1040 CRATER LAKE AVE, SUITE D
MEDFORD, OR 975046295
4352166073
1173 S 250, SUITE 203
SAINT GEORGE, UT 847706741
230 N 1680, SUITE T2
SAINT GEORGE, UT 847902573
4352166073
Source: CMS National Downloadable File, September 2026.