Graduated: 1994
NPI: 1760660344
Practice Locations (3)
CARSON TAHOE PHYSICIAN HOSPITAL ORGANIZATION, LLC
1600 MEDICAL PKWY
CARSON CITY, NV 897034625
7754458000
SUSQUEHANNA PHYSICIAN SERVICES
700 HIGH ST
WILLIAMSPORT, PA 177013100
5703211279
NORTHWEST ANESTHESIOLOGY AND PAIN SERVICES, P.A.
6011 W SAM HOUSTON PKWY S, ALTUS HOUSTON HOSPITAL
HOUSTON, TX 770721646
7137730556
Source: CMS National Downloadable File, September 2026.