Graduated: 2007
NPI: 1992979751
Practice Locations (2)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
4880 WYNN RD
LAS VEGAS, NV 891035406
7028715005
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
6210 N DURANGO DR
LAS VEGAS, NV 891493916
7029401540
Source: CMS National Downloadable File, September 2026.