Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1993
Also: HOSPITALIST
Offers telehealth
NPI: 1063432292
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES OREGON
BOISE, ID 83702
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
BOISE, ID 83702
PROVIDENCE HEALTH AND SERVICES MT
BOISE, ID 83702
PROVIDENCE HEALTH AND SERVICES MT
203 S DAISY ST
SALMON, ID 834674709
2087565600
Source: CMS National Downloadable File, September 2026.