Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1998
NPI: 1811051386
Practice Locations (2)
COUNTY OF SANTA CRUZ
1080 EMELINE AVE, HEALTH SERVICES AGENCY FQHC SANTA CRUZ CLIN
SANTA CRUZ, CA 950601966
8314544100
COUNTY OF SANTA CRUZ
1430 FREEDOM BLVD
WATSONVILLE, CA 950762780
8317638400
Source: CMS National Downloadable File, September 2026.