Graduated: 1998
NPI: 1255496493
Practice Locations (2)
PANHANDLE ANESTHESIA ASSOCIATES OF MOSCOW
700 S MAIN ST
MOSCOW, ID 838433056
2087467555
GRITMAN MEDICAL CENTER INC
803 S MAIN ST, SUITE 310
MOSCOW, ID 838432695
2088836700
Source: CMS National Downloadable File, September 2026.