Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1986
NPI: 1730114067
Practice Locations (2)
WESTERN SIERRA MEDICAL CLINIC INC
PO BOX, SUITE 286
DOWNIEVILLE, CA 959360286
WESTERN SIERRA MEDICAL CLINIC INC
844 OLD TUNNEL RD
GRASS VALLEY, CA 959458524
5302749762
Source: CMS National Downloadable File, September 2026.