Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1993
NPI: 1295841864
Practice Locations (3)
SOUTHERN MONO HEALTH CARE DISTRICT
85 SIERRA PARK RD
MAMMOTH LAKES, CA 935462073
7609343311
SOUTHERN MONO HEALTH CARE DISTRICT
PO BOX, SUITE 660
MAMMOTH LAKES, CA 935460660
USACS INTEGRATED ACUTE CARE SERVICES OF NEVADA BAGNOLI P C
1600 MEDICAL PKWY
CARSON CITY, NV 897034625
7752209149
Source: CMS National Downloadable File, September 2026.