Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1994
Offers telehealth
NPI: 1598843682
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES MT
500 W BROADWAY ST, SUITE 320
MISSOULA, MT 598024003
4063295615
OPTUM CARE WASHINGTON PLLC
401 2ND ST
SNOHOMISH, WA 982903008
3605688600
Source: CMS National Downloadable File, September 2026.