Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
Also: SPORTS MEDICINE
NPI: 1265401541
Practice Locations (1)
SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION
1255 LIBERTY ST
REDDING, CA 960010814
5302462467
Source: CMS National Downloadable File, September 2026.