Graduated: 1989
NPI: 1316033210
Practice Locations (2)
GRITMAN MEDICAL CENTER INC
803 S MAIN ST, SUITE 310
MOSCOW, ID 838432695
2088836700
LINCOLN COUNTY HOSPITAL DISTRICT 3
10 NICHOLLS ST
DAVENPORT, WA 991229729
Source: CMS National Downloadable File, September 2026.