Graduated: 2019
NPI: 1093843492
Practice Locations (3)
PUBLIC HOSPITAL DISTRICT 1-A OF WHITMAN COUNTY
2500 W A ST, SUITE 201
MOSCOW, ID 838436000
2083322828
PALOUSE SPECIALTY PHYSICIANS PS
803 S MAIN ST, SUITE 210
MOSCOW, ID 838432695
2088821778
PUBLIC HOSPITAL DISTRICT 1-A OF WHITMAN COUNTY
825 SE BISHOP BLVD, SUITE 130
PULLMAN, WA 991635517
5093380632
Source: CMS National Downloadable File, September 2026.