Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1568461507
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES MT
601 W SPRUCE ST, SUITE J
MISSOULA, MT 598024047
4063273100
SWEDISH HEALTH SERVICES
747 BROADWAY
SEATTLE, WA 981224379
2063866000
Source: CMS National Downloadable File, September 2026.