Medical school: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1265471445
Practice Locations (1)
DOUGLAS, GRANT, LINCOLN AND OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT
411 FORTUYN RD
GRAND COULEE, WA 991338718
5096331753
Source: CMS National Downloadable File, September 2026.