Medical school: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1699819086
Practice Locations (3)
SOUTHERN MONO HEALTH CARE DISTRICT
85 SIERRA PARK RD
MAMMOTH LAKES, CA 935462073
7609343311
SOUTHERN MONO HEALTH CARE DISTRICT
PO BOX
MAMMOTH LAKES, CA 935460660
SOUTHERN MONO HEALTH CARE DISTRICT
PO BOX, SUITE 660
MAMMOTH LAKES, CA 935460660
Source: CMS National Downloadable File, September 2026.