Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2003
NPI: 1821022492
Practice Locations (1)
CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
817 COMMERCIAL ST
LEAVENWORTH, WA 988261316
5095483420
Source: CMS National Downloadable File, September 2026.