Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1988
NPI: 1508814484
Practice Locations (2)
ST JOSEPH HOSPITAL LLC
415 6TH ST
LEWISTON, ID 835012431
2087432511
SOMC MEDICAL CARE FOUNDATION, INC.
1711 27TH ST
PORTSMOUTH, OH 456622654
7403566740
Source: CMS National Downloadable File, September 2026.