Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1669412714
Practice Locations (2)
VITUITY-CALIFORNIA OBSERVATION SERVICES PC
1 MEDICAL PLAZA DR
ROSEVILLE, CA 956613037
9167811000
CEP AMERICA - CALIFORNIA
1 MEDICAL PLAZA DR
ROSEVILLE, CA 956613037
9167811000
Source: CMS National Downloadable File, September 2026.