Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1255333886
Practice Locations (2)
RADIA INC P S
1221 E YALE AVE
SALT LAKE CITY, UT 841051516
4255631500
RADIA INC P S
834 SHERIDAN ST
PORT TOWNSEND, WA 983682499
3603852200
Source: CMS National Downloadable File, September 2026.