Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1991
Also: GENERAL SURGERY
Offers telehealth
NPI: 1588720007
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES MT
500 W BROADWAY ST, SUITE 320
MISSOULA, MT 598024003
4063295615
Source: CMS National Downloadable File, September 2026.