Graduated: 1998
NPI: 1134454879
Practice Locations (4)
POCATELLO HEALTH SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
SANFORD BISMARCK
300 N 7TH ST
BISMARCK, ND 585014439
7013236000
SANFORD BISMARCK
3318 N 14TH ST
BISMARCK, ND 585031614
7013238300
TRINITY HEALTH
1 BURDICK EXPY W
MINOT, ND 587014406
7018575000
Source: CMS National Downloadable File, September 2026.