Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1760480123
Practice Locations (2)
KINGMAN HEALTHCARE INC
3269 N STOCKTON HILL RD
KINGMAN, AZ 864093619
9287572101
OPTUM MEDICAL GROUP RHODES P C
2300 W CHARLESTON BLVD
LAS VEGAS, NV 891022149
7027248787
Source: CMS National Downloadable File, September 2026.