Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1831105998
Practice Locations (1)
DHHS IHS PHOENIX AREA
200 W HOSPITAL DR, 860 WHITERIVER INDIAN
WHITERIVER, AZ 859410860
92833849113532
Source: CMS National Downloadable File, September 2026.