Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1376580597
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
4800 CORDOVA ST
ANCHORAGE, AK 995037218
9075613333
LIFEPOINT REHAB PHYSICIAN SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082391000
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
SHREWSBURY, MA 01545
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
401 W POPLAR ST
WALLA WALLA, WA 993622846
5098973320
Source: CMS National Downloadable File, September 2026.