Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 2008
NPI: 1639326010
Practice Locations (3)
LAST FRONTIER HEALTHCARE DISTRICT
1111 N NAGLE ST
ALTURAS, CA 961013840
5307088800
SURPRISE VALLEY HEALTH CARE DISTRICT
PO BOX
CEDARVILLE, CA 96104
SURPRISE VALLEY HEALTH CARE DISTRICT
PO BOX, SUITE 246
CEDARVILLE, CA 96104
Source: CMS National Downloadable File, September 2026.