Graduated: 2002
NPI: 1659484483
Practice Locations (2)
ORTHOPEDIC SURGERY AND SPORTS
850 W IRONWOOD DR, SUITE 202
COEUR D ALENE, ID 838144903
2086642175
ORTHOPEDIC SURGERY AND SPORTS
1160 E POLSTON AVE, SUITE B
POST FALLS, ID 838546045
2082620156
Source: CMS National Downloadable File, September 2026.