Medical school: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated: 1972
NPI: 1528082666
Practice Locations (2)
2900 DOCTORS PARK DR, SUITE 200
MEDFORD, OR 975044348
2900 DOCTORS PARK DR, SUITE 200
MEDFORD, OR 975048198
Source: CMS National Downloadable File, September 2026.