Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1988
Offers telehealth
NPI: 1922079235
Practice Locations (1)
NORTH IDAHO DAY SURGERY LLC
315 W DALTON AVE, SUITE B
COEUR D ALENE, ID 838158600
2082092066
Source: CMS National Downloadable File, September 2026.