Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1990
NPI: 1821462938
Practice Locations (2)
2440 SISTER MARY COLUMBA DR, SUITE 300
RED BLUFF, CA 960804356
5305299729
1100 BUTTE ST
REDDING, CA 960010852
5302292954
Source: CMS National Downloadable File, September 2026.