Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1902900012
Practice Locations (2)
1666 MEDICAL CTR DR, SUITE 2
SAN BERNARDINO, CA 924111257
9098802491
1666 N MEDICAL CTR DR, SUITE 2
SAN BERNARDINO, CA 924111257
Source: CMS National Downloadable File, September 2026.