Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2005
NPI: 1548458656
Practice Locations (2)
3400 DATA DR
Rancho Cordova, CA 956707956
2340 LIBERTY PKWY, SUITE 200
RED BLUFF, CA 960804350
Source: CMS National Downloadable File, September 2026.