Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 2016
Also: MICROGRAPHIC DERMATOLOGIC SURGERY (MDS), PATHOLOGY
NPI: 1184087801
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
75036 GERALD FORD DR
PALM DESERT, CA 922112080
8668830119
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.