Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1851277636
Practice Locations (3)
619 CUSTER AVE
COLORADO SPRINGS, CO 809032834
8100 SW NYBERG ST
TUALATIN, OR 970628438
7220 HIDDEN MEADOW LN
HARRISBURG, PA 171128720
Source: CMS National Downloadable File, September 2026.