Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1043433253
Practice Locations (2)
KOOTENAI HEALTH INC
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
2086254000
FRONTIER BEHAVIORAL HEALTH
107 S DIVISION ST
SPOKANE, WA 992021510
5098384651
Source: CMS National Downloadable File, September 2026.