Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1558522169
Practice Locations (2)
39 CRESTVIEW DR
KETTLE FALLS, WA 991419584
440 S MEYERS ST, PO BOX 959
KETTLE FALLS, WA 991418839
5097381555
Source: CMS National Downloadable File, September 2026.