Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1997
NPI: 1306830922
Practice Locations (1)
BONNER GENERAL HOSPITAL INC
606 N 3RD AVE, SUITE 201
SANDPOINT, ID 838641689
2082638597
Source: CMS National Downloadable File, September 2026.