Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1981
Also: INTERNAL MEDICINE
NPI: 1548227739
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES MT
3055 N RESERVE ST, SUITE D
MISSOULA, MT 598081395
4063277000
Source: CMS National Downloadable File, September 2026.