Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1994
NPI: 1427084045
Practice Locations (1)
KINGMAN HEALTHCARE INC
1739 E BEVERLY AVE, SUITE 200
KINGMAN, AZ 864093593
9286818705
Source: CMS National Downloadable File, September 2026.