Graduated: 2002
NPI: 1922040443
Practice Locations (2)
MT GRANT GENERAL HOSPITAL
200 S A ST
HAWTHORNE, NV 894151510
7759452461
KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1
310 S ROOSEVELT ST
GOLDENDALE, WA 986209201
5094862151
Source: CMS National Downloadable File, September 2026.