Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1974
NPI: 1245290865
Practice Locations (1)
FAMILY HEALTH CARE MEDICAL GROUP OF MODESTO A PROFESSIONAL CORP
1320 CELESTE DR
MODESTO, CA 953552402
2095276900
Source: CMS National Downloadable File, September 2026.