Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2005
Offers telehealth
NPI: 1033239835
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES MT
500 W BROADWAY ST, SUITE 310
MISSOULA, MT 598024003
4067286520
Source: CMS National Downloadable File, September 2026.