Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1970
NPI: 1801803390
Practice Locations (2)
7233 W DESCHUTES AVE, SUITE A
KENNEWICK, WA 993366707
5099464632
7233 W DESCHUTES AVE, SUITE B
KENNEWICK, WA 993366707
5099464631245
Source: CMS National Downloadable File, September 2026.