Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1548451040
Practice Locations (2)
KADLEC REGIONAL MEDICAL CENTER
1100 GOETHALS DR, SUITE B
RICHLAND, WA 993523301
5099423080
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
301 W POPLAR ST, SUITE 50
WALLA WALLA, WA 993622800
5098978300
Source: CMS National Downloadable File, September 2026.