Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1980
Offers telehealth
NPI: 1871511295
Practice Locations (2)
1720 MESQUITE AVE, SUITE 202
Lake Havasu City, AZ 864035644
1720 MESQUITE AVE, SUITE 202
LAKE HAVASU CITY, AZ 864035644
9288551550
Source: CMS National Downloadable File, September 2026.