Graduated: 2022
NPI: 1760182984
Practice Locations (2)
SOUND PHYSICIANS OF IDAHO
415 6TH ST
LEWISTON, ID 835012431
2087432511
PUBLIC HOSPITAL DISTRICT NO 3 OF WHITMAN COUNTY
1200 W FAIRVIEW ST
COLFAX, WA 991119552
5093973435
Source: CMS National Downloadable File, September 2026.