Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1033310719
Practice Locations (2)
ST JOSEPH HOSPITAL LLC
415 6TH ST
LEWISTON, ID 835012431
ST JOSEPH HOSPITAL LLC
821 21ST AVE
LEWISTON, ID 835016389
2087993422
Source: CMS National Downloadable File, September 2026.