Graduated: 1993
NPI: 1689724254
Practice Locations (2)
YUMA REGIONAL MEDICAL CENTER
2400 S AVE A
YUMA, AZ 853647127
9283442000
WELLSPAN MEDICAL GROUP
25 MONUMENT RD, SUITE 220B
YORK, PA 174035049
7178122390
Source: CMS National Downloadable File, September 2026.