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Doctors / NC
PEDIATRIC MEDICINE
Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1063631141
PO BOX, SUITE 40908
FAYETTEVILLE, NC 28309
PO BOX, SUITE 5299
TACOMA, WA 98415
Source: CMS National Downloadable File, September 2026.