Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated: 2013
NPI: 1831520030
Practice Locations (1)
KOOTENAI URGENT CARE LLC
700 W IRONWOOD DR, SUITE 120E
COEUR D ALENE, ID 838142656
2086253640
Source: CMS National Downloadable File, September 2026.