Graduated: 2020
Also: SPORTS MEDICINE
NPI: 1801415328
Practice Locations (2)
GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1
2000 S CLOVER DR
MOSES LAKE, WA 988374417
5097655606
THE ASSOCIATION OF UNIVERSITY PHYSICIANS
1959 NE PACIFIC ST
SEATTLE, WA 981950001
2065984333
Source: CMS National Downloadable File, September 2026.