Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1982697090
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
105 W 8TH AVE, SUITE 318C
SPOKANE, WA 992042318
5094746650
Source: CMS National Downloadable File, September 2026.