Graduated: 2001
NPI: 1609005453
Practice Locations (4)
KOOTENAI HEALTH INC
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
2086254000
HOSPITAL MEDICINE SERVICES OF TENNESSEE PC
421 S MAIN ST
CROSSVILLE, TN 385555048
9314849511
SOUTHEASTERN PHYSICIAN SERVICES PC
5959 PARK AVE
MEMPHIS, TN 381195200
9017651000
LONESTAR HOSPITAL MEDICINE ASSOCIATES PA
22999 HWY 59 N
KINGWOOD, TX 773394412
2813488000
Source: CMS National Downloadable File, September 2026.