Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1356344626
Practice Locations (2)
GEISINGER CLINIC
675 BALTIMORE DR
WILKES BARRE, PA 187027900
5708267300
THEDACARE, INCORPORATED
130 2ND ST
NEENAH, WI 549562883
9207250077
Source: CMS National Downloadable File, September 2026.