Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1976
NPI: 1881612885
Practice Locations (2)
1111 CRATER LAKE AVE
MEDFORD, OR 975046241
5417325000
2825 E BARNETT RD
MEDFORD, OR 975048332
5417894878
Source: CMS National Downloadable File, September 2026.