Graduated: 2021
NPI: 1528646684
Practice Locations (2)
EASTERN MAINE MEDICAL CENTER
489 STATE ST
BANGOR, ME 044016616
2079737000
BAY AREA HOSPITAL DISTRICT
1775 THOMPSON RD
COOS BAY, OR 974202125
5412698280
Source: CMS National Downloadable File, September 2026.