Graduated: 1996
NPI: 1821166539
Practice Locations (2)
SOUTH SOUND INPATIENT PHYSICIANS PLLC
1460 G ST
SPRINGFIELD, OR 974774112
5417264400
FAYETTE PHYSICIAN NETWORK INC
500 W BERKELEY ST
UNIONTOWN, PA 154015514
7244306899
Source: CMS National Downloadable File, September 2026.