Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2017
NPI: 1063953354
Practice Locations (3)
SODERSTROM DERMATOLOGY CENTER S C
4909 N GLEN PARK PLACE RD
PEORIA, IL 616144676
3096747546
UNIVERSITY OF VERMONT MEDICAL CENTER INC
111 COLCHESTER AVE
BURLINGTON, VT 054011473
8028470000
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
820 N CHELAN AVE
WENATCHEE, WA 988012028
5096638711
Source: CMS National Downloadable File, September 2026.