Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1993
NPI: 1811924574
Practice Locations (1)
LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC
925 BEVINS CT
LAKEPORT, CA 954539754
70726383821204
Source: CMS National Downloadable File, September 2026.