California
San Luis Obispo
San Luis Obispo
Surgery: Orthopedic
active
G77320
1992
medical activities:
no activities identified
license issued on December 3, 2004; expires on November 30, 2012
Specialist for: Orthopedic Surgery
University of Utah School of Medicine (graduated in 1992)
Sierra Vista Regional Medical Center
Twin Cities Community Hospital
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Profile ID: FRUS-MDS-P-195450