Graduated: 2024
NPI: 1558123570
Practice Locations (3)
DARTMOUTH-HITCHCOCK CLINIC
1 MEDICAL CTR DR
LEBANON, NH 037561000
6036505000
PROVIDENCE HEALTH AND SERVICES-WA
101 W 8TH AVE
SPOKANE, WA 992042307
5094743131
PROVIDENCE HEALTH AND SERVICES-WA
62 W 7TH AVE
SPOKANE, WA 992042321
Source: CMS National Downloadable File, September 2026.