Graduated: 2000
NPI: 1487862520
Practice Locations (3)
ST JOSEPH HOSPITAL LLC
415 6TH ST, SUITE 3C
LEWISTON, ID 835012431
2087507300
MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC
1532 LONE OAK RD, SUITE 415
PADUCAH, KY 420037943
2704420103
THE METROHEALTH SYSTEM
2500 METROHEALTH DR
CLEVELAND, OH 441091900
2167787800
Source: CMS National Downloadable File, September 2026.