Medical school: ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated: 2019
NPI: 1013470467
Practice Locations (2)
KOOTENAI HEALTH INC
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
2086254000
MID-VALLEY HEALTHCARE INC
400 N SANTIAM HWY
LEBANON, OR 97355
5414516388
Source: CMS National Downloadable File, September 2026.