Graduated: 1990
NPI: 1649244369
Practice Locations (3)
STEELE MEMORIAL MEDICAL CENTER
203 S DAISY ST
SALMON, ID 834674709
2087565600
PROVIDENCE HEALTH AND SERVICES MT
805 MAIN ST
SALMON, ID 834674316
2087566212
PROVIDENCE HEALTH AND SERVICES MT
1200 WESTWOOD DR, MARCUS DALY MEMORIAL HOSPITAL
HAMILTON, MT 598402345
4063632211
Source: CMS National Downloadable File, September 2026.