Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2000
Also: OSTEOPATHIC MANIPULATIVE MEDICINE, PHYSICAL MEDICINE AND REHABILITATION
NPI: 1336218387
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES MT
500 W BROADWAY ST 3RD FL
MISSOULA, MT 598024096
4063271670
Source: CMS National Downloadable File, September 2026.