Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 2000
NPI: 1871567941
Practice Locations (1)
PRIVIA MEDICAL GROUP WASHINGTON PLLC
55 W TIETAN ST
WALLA WALLA, WA 993624445
50952537201405
Source: CMS National Downloadable File, September 2026.