Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1427077734
Practice Locations (2)
TETON VALLEY HEALTH CARE INC
120 E HOWARD ST
DRIGGS, ID 834225112
2083542383
WEST PARK HOSPITAL DISTRICT
424 YELLOWSTONE AVE, SUITE 120
CODY, WY 824149311
3075782903
Source: CMS National Downloadable File, September 2026.