Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 2000
Offers telehealth
NPI: 1851587356
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES MT
500 W BROADWAY ST, SUITE 320
MISSOULA, MT 598024031
4063295615
Source: CMS National Downloadable File, September 2026.