Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 1998
NPI: 1194728329
Practice Locations (2)
HOSPITALIST MEDICINE PHYSICIANS OF IDAHO- NAMPA PLLC
415 6TH ST
LEWISTON, ID 835012431
7852958000
SOUND PHYSICIANS OF IDAHO
415 6TH ST
LEWISTON, ID 835012431
2087432511
Source: CMS National Downloadable File, September 2026.