Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1245227792
Practice Locations (2)
ST JOSEPH HOSPITAL LLC
415 6TH ST
LEWISTON, ID 835012431
ST JOSEPH HOSPITAL LLC
821 21ST AVE
LEWISTON, ID 835016389
2087993422
Source: CMS National Downloadable File, September 2026.