Medical school: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1255370680
Practice Locations (2)
BEAR VALLEY COMMUNITY HEALTH CARE DISTRICT
PO BOX
BIG BEAR LAKE, CA 923151649
BEAR VALLEY COMMUNITY HEALTH CARE DISTRICT
PO BOX, SUITE 1649
BIG BEAR LAKE, CA 923151649
Source: CMS National Downloadable File, September 2026.