Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1998
NPI: 1821245481
Practice Locations (3)
121 14TH ST
BLACK EAGLE, MT 594141031
3037091112
1014 CRESCENT DR
Great Falls, MT 594043226
PO BOX, SUITE 6821
GREAT FALLS, MT 59406
Source: CMS National Downloadable File, September 2026.