Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1995
NPI: 1427110022
Practice Locations (4)
U S HEALTH DEPT OF HEALTH AND HUMAN SERVICES
100 CHEYENNE AVE
LAME DEER, MT 590430000
4064774451
EASTERN SHOSHONE TRIBE
PO BOX, SUITE 128
FORT WASHAKIE, WY 825140128
3073327300
238 RAILWAY PLAZA
RIVERTON, WY 825013556
238 RAILWAY PLZ
RIVERTON, WY 825013556
3078563610
Source: CMS National Downloadable File, September 2026.