Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1996
Also: EMERGENCY MEDICINE
NPI: 1669478137
Practice Locations (1)
1129 S 2ND AVE, SUITE B
WALLA WALLA, WA 993624100
5095205520
Source: CMS National Downloadable File, September 2026.