Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1980
Offers telehealth
NPI: 1104810381
Practice Locations (1)
5411 GRAND BLVD, SUITE 107
NEW PORT RICHEY, FL 346524010
7278471825
Source: CMS National Downloadable File, September 2026.