Medical school: COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduated: 1992
NPI: 1700955432
Practice Locations (1)
TULALIP TRIBES OF WASHINGTON
7520 TOTEM BEACH RD
TULALIP, WA 982716160
3607164511
Source: CMS National Downloadable File, September 2026.