Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2004
NPI: 1013186923
Practice Locations (1)
COMMUNITY ALLIANCE MEDICAL GROUP INC
34675 YUCAIPA BLVD, SUITE 102
YUCAIPA, CA 923994155
9098502411
Source: CMS National Downloadable File, September 2026.