Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1979
Also: GENERAL PRACTICE, OSTEOPATHIC MANIPULATIVE MEDICINE
NPI: 1639195365
Practice Locations (1)
INNOVA EMERGENCY MEDICAL ASSOCIATES PC
3269 N STOCKTON HILL RD
KINGMAN, AZ 864093619
9287572101
Source: CMS National Downloadable File, September 2026.