Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1985
NPI: 1306872999
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES MT
500 W BROADWAY ST, PMG MT RADIATION ONCOLOGY
MISSOULA, MT 598024008
4065437271
PROVIDENCE ST JOSEPH MEDICAL CENTER
63351 US HWY 93
RONAN, MT 598642702
4066765680
Source: CMS National Downloadable File, September 2026.