Medical Directors


Dr. Thomas Bigham

I grew up in Indiana, I literally lived in the middle of a cornfield. I graduated from Purdue University and went to medical school at the New England College of Osteopathic Medicine in the State of Maine.

I did my residency at the University of Utah. I work as a rural physician currently at a Clinical practice in Enterprise UT. I teach at Rocky Vista University in Ivins, and I enjoy being Medical Director for Integrated Senior care Services.

My wife and I have 5 children. My wife is an elementary school teacher.

We love spending time with our kids, and I love working on old cars projects.


Assistant Medical Director

Dr. Tyler Rencher

Dr. Rencher grew up in the St. George area. He graduated from Brigham Young University and from Touro University Nevada College of Osteopathic Medicine. After medical school he completed residency in Internal Medicine at Verde Valley Medical Center in Cottonwood, Arizona. Dr. Rencher is board-certified by the American Osteopathic Board of Internal Medicine.

Dr. Rencher has a deep love of music. He also enjoys working on cars, rockhounding, camping, fishing, and Jeep rides with his family.

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