Medical school: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated: 1983
NPI: 1346222650
Practice Locations (2)
1902 E BERRY RD
CEDAR RAPIDS, IA 524039090
203 S WESTERN AVE, C/O CREDENTIALING
Tonasket, WA 988558803
Source: CMS National Downloadable File, September 2026.