Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1619990017
Practice Locations (1)
COEUR D ALENE PRIMARY CARE PLLC
920 W IRONWOOD DR, SUITE 200
COEUR D ALENE, ID 838142643
2086672600
Source: CMS National Downloadable File, September 2026.