Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1326603531
Practice Locations (2)
GRITMAN MEDICAL CENTER INC
700 S MAIN ST
MOSCOW, ID 838433056
2088824511
GRITMAN MEDICAL CENTER INC
719 S MAIN ST
MOSCOW, ID 838433041
2088831152
Source: CMS National Downloadable File, September 2026.