Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1194907592
Practice Locations (3)
KOOTENAI HEALTH INC
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 838146051
KOOTENAI HEALTH INC
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
KOOTENAI HEALTH INC
1055 RIVERSIDE AVE
OROFINO, ID 835449029
2084765777
Source: CMS National Downloadable File, September 2026.