Graduated: 2004
NPI: 1154533297
Practice Locations (5)
ADVENTIST HEALTH SYSTEM GEORGIA INC
100 JOHN MADDOX DR NW, SUITE 100 / UROLOGY
ROME, GA 301653000
7063782790
PROVIDENCE HEALTH AND SERVICES WASHINGTON
149 LILLY RD NE
OLYMPIA, WA 985065028
3604866772
CAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS LLC
3900 CAPITAL MALL DR SW
OLYMPIA, WA 985028654
3607044743
CAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS LLC
601 MCPHEE RD SW, BLDG 1
OLYMPIA, WA 985025080
3607066282
YAKIMA UROLOGY AT MEMORIAL TR
2500 RACQUET LN, SUITE 100
YAKIMA, WA 989026114
5097463900
Source: CMS National Downloadable File, September 2026.