Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2013
NPI: 1386084283
Practice Locations (3)
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
HIGHWAY 191 AND HOSPITAL RD
CHINLE, AZ 865038000
92867470307030
MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT
PO BOX
WEAVERVILLE, CA 960931229
MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT
PO BOX, SUITE 1229
WEAVERVILLE, CA 960931229
Source: CMS National Downloadable File, September 2026.