Graduated: 2010
NPI: 1811290760
Practice Locations (2)
GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1
2000 S CLOVER DR
MOSES LAKE, WA 988374417
5097655606
PREMIER ANESTHESIA OF RICHLAND A DIVISION OF PREMIER ANESTHESIA, LLC
520 N 4TH AVE
PASCO, WA 993015257
5095477704
Source: CMS National Downloadable File, September 2026.