Graduated: 2023
NPI: 1770107484
Practice Locations (2)
UNIVERSITY ANESTHESIA PROVIDERS LLC
1575 BEAM AVE
MAPLEWOOD, MN 551091126
6512327000
YAKIMA VALLEY MEMORIAL PHYSICIANS
2811 TIETON DR
YAKIMA, WA 989023761
5095758000
Source: CMS National Downloadable File, September 2026.