Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1983
NPI: 1639193253
Practice Locations (3)
525 W BROWN RD, FL 9
MESA, AZ 852013202
9100 E MINERAL CIR
CENTENNIAL, CO 801123401
1123 PACIFIC AVE
TACOMA, WA 984024303
Source: CMS National Downloadable File, September 2026.