Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1998
NPI: 1396782272
Practice Locations (2)
LINCOLN COUNTY HOSPITAL DISTRICT 3
10 NICHOLLS ST
DAVENPORT, WA 991229729
LINCOLN COUNTY HOSPITAL DISTRICT 3
10 NICHOLLS ST, CLINIC
DAVENPORT, WA 991229730
5097257501
Source: CMS National Downloadable File, September 2026.