Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1979
NPI: 1518944891
Practice Locations (1)
GILA RIVER HEALTH CARE CORPORATION
3042 W QUEEN CREEK RD, HU HU KAM MEMORIAL HOSPITAL
CHANDLER, AZ 852860038
6025281200
Source: CMS National Downloadable File, September 2026.