Medical school: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1699124552
Practice Locations (3)
2825 E BARNETT RD
MEDFORD, OR 975048332
PO BOX
PHILADELPHIA, PA 19178
PO BOX, SUITE 980503
RICHMOND, VA 23298
Source: CMS National Downloadable File, September 2026.