Medical school: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1023096955
Practice Locations (2)
415 6TH ST
LEWISTON, ID 835012431
2087507445
ST JOSEPH HOSPITAL LLC
415 6TH ST
LEWISTON, ID 835012431
2087432511
Source: CMS National Downloadable File, September 2026.