Medical school: UNIVERSITY OF MINNESOTA, DULUTH SCHOOL OF MEDICINE
Graduated: 1999
Also: ADDICTION MEDICINE, PAIN MANAGEMENT
NPI: 1437437761
Practice Locations (1)
DEPARTMENT OF STATE HOSPITALS
24511 W JAYNE AVE
COALINGA, CA 932109503
9166518811
Source: CMS National Downloadable File, September 2026.