Medical school: UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1477655579
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
546 N JEFFERSON LN
SPOKANE, WA 992017104
Source: CMS National Downloadable File, September 2026.