Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1999
Offers telehealth
NPI: 1366514101
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
2071 E HERNDON
CLOVIS, CA 936116101
5593245100
Source: CMS National Downloadable File, September 2026.