Medical school: EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated: 2019
NPI: 1972066587
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
101 W 8TH AVE, 3RD FLOOR EAST
SPOKANE, WA 992042307
5094742277
Source: CMS National Downloadable File, September 2026.