Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1003874439
Practice Locations (2)
ST JOSEPH HOSPITAL LLC
415 6TH ST
LEWISTON, ID 835012431
2087432511
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY
1701 N 13TH ST
SHELTON, WA 985842077
3604262653
Source: CMS National Downloadable File, September 2026.