Graduated: 2021
NPI: 1407697105
Practice Locations (2)
COMMUNITY MEDICAL GROUP LLC
603 28
GRAND JCT, CO 815066019
9706444040
PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY
1003 WALLACE WAY
GRANDVIEW, WA 989308805
5092031080
Source: CMS National Downloadable File, September 2026.