Medical school: OHIO STATE UNIVERSITY COLLEGE OF HOMEOPATHIC MEDICINE
Graduated: 2001
NPI: 1902020738
Practice Locations (1)
FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS
710 BIRCHWOOD AVE, SUITE 101
BELLINGHAM, WA 982251720
3606760922
Source: CMS National Downloadable File, September 2026.