Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1265475420
Practice Locations (1)
PHYSICIANS CLINIC INC
700 E 29TH ST, METHODIST PHYSICIANS CLINIC WOMEN'S CENTER
FREMONT, NE 680252384
4027213133
Source: CMS National Downloadable File, September 2026.