Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1984
NPI: 1982715348
Practice Locations (1)
SD SPORTS MEDICINE AND FAMILY HEALTH CENTER
6699 ALVARADO RD, SUITE 2100
SAN DIEGO, CA 921205238
6192293909
Source: CMS National Downloadable File, September 2026.