Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 2003
NPI: 1912068131
Practice Locations (2)
ST MARYS HOSPITAL INC
701 LEWISTON ST
COTTONWOOD, ID 835229750
2089623251
CLEARWATER VALLEY HOSPITAL AND CLINICS
301 CEDAR ST
OROFINO, ID 835449029
2084765777
Source: CMS National Downloadable File, September 2026.