Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1992
NPI: 1649381153
Practice Locations (1)
MESQUITE CLINIC MANAGEMENT COMPANY LLC
1301 BERTHA HOWE AVE, SUITE 1
MESQUITE, NV 890277503
7023460800
Source: CMS National Downloadable File, September 2026.