Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 1989
NPI: 1023067485
Practice Locations (2)
PO, SUITE 2300
PASADENA, CA 911102300
2801 ST ANTHONY WAY
PENDLETON, OR 978013800
Source: CMS National Downloadable File, September 2026.