Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
Also: ADDICTION MEDICINE, EMERGENCY MEDICINE
Offers telehealth
NPI: 1659300374
Practice Locations (1)
DISRUPTION HEALTHCARE PLLC
969 STEVENS DR, SUITE 3A
RICHLAND, WA 993523558
50971313151047
Source: CMS National Downloadable File, September 2026.