Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
Also: GENERAL SURGERY
NPI: 1811974652
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
128 LILLY RD NE, SUITE 205
OLYMPIA, WA 985067400
3067543380
Source: CMS National Downloadable File, September 2026.