Medical school: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated: 1993
Also: HOSPITALIST
NPI: 1427060664
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
914 S SCHEUBER RD
CENTRALIA, WA 985319027
3607362803
Source: CMS National Downloadable File, September 2026.