Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1991
NPI: 1639184146
Practice Locations (1)
BLUE MOUNTAIN HOSPITAL DISTRICT
170 FORD RD
JOHN DAY, OR 978452009
5415751311
Source: CMS National Downloadable File, September 2026.