Medical school: HARVARD MEDICAL SCHOOL
Graduated: 1994
NPI: 1265415764
Practice Locations (3)
POMONA VALLEY IMAGING MEDICAL GROUP INC
10520 WILSHIRE BLVD, APT 706
LOS ANGELES, CA 900244596
9098659500
EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
24276 166TH AIRPORT RD
EAGLE BUTTE, SD 576251022
60596477240515
EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
PO BOX, SUITE 1012
EAGLE BUTTE, SD 576251012
Source: CMS National Downloadable File, September 2026.