Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2010
NPI: 1417261934
Practice Locations (2)
GRITMAN MEDICAL CENTER INC
623 S MAIN ST, SUITE 1
MOSCOW, ID 838432983
2088822011
GRITMAN MEDICAL CENTER INC
700 S MAIN ST
MOSCOW, ID 838433056
2088836236
Source: CMS National Downloadable File, September 2026.