Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1811059264
Practice Locations (2)
GRITMAN MEDICAL CENTER INC
2400 W A ST, SUITE G
MOSCOW, ID 838434902
2088831177
GRITMAN MEDICAL CENTER INC
700 S MAIN ST
MOSCOW, ID 838433056
2088824511
Source: CMS National Downloadable File, September 2026.