Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 2007
NPI: 1649473208
Practice Locations (2)
SOUTHERN MONO HEALTH CARE DISTRICT
85 SIERRA PARK RD
MAMMOTH LAKES, CA 935462073
7609343311
SOUTHERN MONO HEALTH CARE DISTRICT
PO BOX, SUITE 660
MAMMOTH LAKES, CA 935460660
Source: CMS National Downloadable File, September 2026.