Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1989
NPI: 1063499895
Practice Locations (1)
NORTHEASTERN NEVADA PHYSICIAN PRACTICES LLC
1995 ERRECART BLVD, SUITE 202
ELKO, NV 898018337
7757353654
Source: CMS National Downloadable File, September 2026.