Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1976
Also: INTERNAL MEDICINE
NPI: 1225023096
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES MT
500 W BROADWAY ST, SPH INPATIENT PHY SERVICES
MISSOULA, MT 598024096
4065437271
Source: CMS National Downloadable File, September 2026.