Graduated: 2000
NPI: 1144262734
Practice Locations (2)
WESTERN MONTANA CLINIC PC
2835 FORT MISSOULA RD
MISSOULA, MT 598047423
4067215600
WESTERN MONTANA CLINIC PC
500 W BROADWAY ST
MISSOULA, MT 598024008
4067215600
Source: CMS National Downloadable File, September 2026.