Washington
Cowlitz
Longview
Family Medicine
canceled
G19471
male
1969
medical activities:
no activities identified
license issued on October 15, 1985;
Addiction Medicine
Specialist for: Family Practice
Bowman Gray School of Medicine of Wake Forest University (graduated in 1969)
Graduated in year 1969, Medical School: Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC 27157
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Profile ID: FRUS-MDS-P-176100