Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1986
NPI: 1689769085
Practice Locations (2)
1050 GILLMORE AVE, SUITE A
RICHLAND, WA 993523305
5099461004
KADLEC REGIONAL MEDICAL CENTER
1135 JADWIN AVE
RICHLAND, WA 993523434
5099423300
Source: CMS National Downloadable File, September 2026.