Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 2013
NPI: 1235571993
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES MT
1211 S RESERVE ST, SUITE 101
MISSOULA, MT 598013103
4063273057
BLUE MOUNTAIN CLINIC, INC.
610 N CALIFORNIA ST
MISSOULA, MT 598023950
4067211646
Source: CMS National Downloadable File, September 2026.