Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1962551119
Practice Locations (2)
501 S FRANKLIN ST
FORT BRAGG, CA 954375101
7079611972
700 RIVER DR
FORT BRAGG, CA 954375403
7079611234
Source: CMS National Downloadable File, September 2026.