Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2000
Also: INTERNAL MEDICINE
NPI: 1790831329
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES MT
500 W BROADWAY ST, SPH INPATIENT PHY SERVICES
MISSOULA, MT 598024096
4065437271
Source: CMS National Downloadable File, September 2026.