Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2001
NPI: 1528010121
Practice Locations (2)
SHOPTIKAL LLC
2331 THAIN GRADE, SUITE 101
LEWISTON, ID 835014119
2087461050
SHOPTIKAL LLC
9326 N DIVISION ST
SPOKANE, WA 992181227
5094667136
Source: CMS National Downloadable File, September 2026.