Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1578559084
Practice Locations (2)
CHAPA-DE INDIAN HEALTH PROGRAM, INC.
1350 E MAIN ST
GRASS VALLEY, CA 959455208
5304778545
DIGNITY HEALTH MEDICAL FOUNDATION
280 SIERRA COLLEGE DR, SUITE 115
GRASS VALLEY, CA 959455763
5304773119
Source: CMS National Downloadable File, September 2026.