Medical school: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1174593404
Practice Locations (1)
PAIN MANAGEMENT OF NORTH IDAHO PLLC
1686 W RIVERSTONE DR, SUITE 1
COEUR D ALENE, ID 838145779
2086642363
Source: CMS National Downloadable File, September 2026.