Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 1993
NPI: 1407965544
Practice Locations (2)
NORTH IDAHO DAY SURGERY LLC
750 N SYRINGA ST, SUITE 100
POST FALLS, ID 838545275
2082622600
BENEWAH COMMUNITY HOSPITAL
229 S 7TH ST
ST MARIES, ID 838611803
2082455551
Source: CMS National Downloadable File, September 2026.