Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 2001
NPI: 1396745303
Practice Locations (2)
BLUE MOUNTAIN HOSPITAL DISTRICT
170 FORD RD
JOHN DAY, OR 978452009
5415751311
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
834 SHERIDAN ST
PORT TOWNSEND, WA 983682443
3603852200
Source: CMS National Downloadable File, September 2026.