Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1989
NPI: 1184630899
Practice Locations (2)
SOUTHERN INDIAN HEALTH COUNCIL
4058 WILLOWS RD
ALPINE, CA 919011668
SOUTHERN INDIAN HEALTH COUNCIL
36350 CHURCH RD
CAMPO, CA 919062715
6194451188
Source: CMS National Downloadable File, September 2026.