Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1994
Offers telehealth
NPI: 1295787554
Practice Locations (2)
100 INDEPENDENCE CIR
CHICO, CA 959730258
5308999038
145 MISSION RANCH BLVD, SUITE 115
CHICO, CA 959262296
5308990143
Source: CMS National Downloadable File, September 2026.