Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1528172400
Practice Locations (4)
TRA-MINW P S
1889 E 4500
HOLLADAY, UT 841174305
2537614200
MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE
1889 E 4500
HOLLADAY, UT 841174305
2537614200
MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE
222 15TH AVE SE
PUYALLUP, WA 983723754
2538414353
TRA-MINW P S
1304 FAWCETT AVE, SUITE 100
TACOMA, WA 984021900
2538414353
Source: CMS National Downloadable File, September 2026.