Graduated: 1994
NPI: 1104807684
Practice Locations (5)
COUNTY OF SANTA CLARA
751 S BASCOM AVE
SAN JOSE, CA 951282604
4088855000
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
SANFORD MEDICAL CENTER
1301 W 18TH ST
SIOUX FALLS, SD 571050401
6053122200
SANFORD MEDICAL CENTER
1305 W 18TH ST
SIOUX FALLS, SD 571050401
6053127300
SANFORD MEDICAL CENTER
4405 E 26TH ST
SIOUX FALLS, SD 571034187
6053322883
Source: CMS National Downloadable File, September 2026.