Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1998
NPI: 1700987963
Practice Locations (2)
PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY
1105 DALE AVE
BENTON CITY, WA 993208872
5095884075
PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY
200 PROSSER HEALTH DR
PROSSER, WA 993507832
5097886022
Source: CMS National Downloadable File, September 2026.