Graduated: 2021
NPI: 1649624404
Practice Locations (3)
KENAITZE INDIAN TRIBE
508 UPLAND ST
KENAI, AK 996118026
9073357500
CONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON
9615 GRAND RONDE RD
GRAND RONDE, OR 973479712
5038792007
MUSC COMMUNITY PHYSICIANS
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 291181442
8033953400
Source: CMS National Downloadable File, September 2026.