Medical school: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated: 2019
Offers telehealth
NPI: 1710412770
Practice Locations (2)
KOOTENAI HEALTH INC
1055 RIVERSIDE AVE
OROFINO, ID 835449029
2084765777
KOOTENAI HEALTH INC
1300 E MULLAN AVE, SUITE 1300
POST FALLS, ID 838546057
2086255630
Source: CMS National Downloadable File, September 2026.