Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2005
NPI: 1801824586
Practice Locations (2)
DHHS PHS IHS PHOENIX AREA
401 E PICACHO RD
WINTERHAVEN, CA 922839605
DHHS PHS IHS PHOENIX AREA
401 PICACHO RD
WINTERHAVEN, CA 922839605
7605724137
Source: CMS National Downloadable File, September 2026.