Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1980
NPI: 1699743625
Practice Locations (3)
77 ROLLING OAKS DR, SUITE 202
Thousand Oaks, CA 913611018
77 ROLLING OAKS DR, SUITE 202
THOUSAND OAKS, CA 913611018
8053796717
GENESIS HEALTH SYSTEM
1227 E RUSHOLME ST, MERCYONE GENESIS
DAVENPORT, IA 528032459
5634211000
Source: CMS National Downloadable File, September 2026.