Graduated: 2013
NPI: 1417471608
Practice Locations (2)
NORTH PLATTE NEBRASKA HOSPITAL CORPORATION
601 W LEOTA ST, GREAT PLAINS HEALTH
NORTH PLATTE, NE 691016525
3085688000
PROVIDENCE HEALTH AND SERVICES WASHINGTON
101 W 8TH AVE
SPOKANE, WA 992042307
5094743131
Source: CMS National Downloadable File, September 2026.