Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1194702696
Practice Locations (2)
CHICKASAW NATION DIVISION OF HEALTH
1921 STONECIPHER DR
ADA, OK 748203439
5804363980
ST CHARLES HEALTH SYSTEM INC
2500 NE NEFF RD
BEND, OR 977016015
5417062768
Source: CMS National Downloadable File, September 2026.