Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1265492821
Practice Locations (2)
MEDSTREAM ANESTHESIA PLLC
415 6TH ST
LEWISTON, ID 835012431
8283985244
ST JOSEPH HOSPITAL LLC
415 6TH ST
LEWISTON, ID 835012431
2087432511
Source: CMS National Downloadable File, September 2026.