Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1992
NPI: 1629043740
Practice Locations (1)
KINGMAN HEALTHCARE INC
1739 E BEVERLY AVE, SUITE 102
KINGMAN, AZ 864093593
9286818693
Source: CMS National Downloadable File, September 2026.