Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1969
NPI: 1699739730
Practice Locations (1)
PUBLIC HOSPITAL DIST NO 1 SKAGIT
1400 E KINCAID ST
MOUNT VERNON, WA 982744127
3604282500
Source: CMS National Downloadable File, September 2026.