Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1976
NPI: 1225059736
Practice Locations (2)
PO BOX, SUITE 2925
Yakima, WA 989072925
2925 PO BOX
YAKIMA, WA 989072925
Source: CMS National Downloadable File, September 2026.