Graduated: 1993
NPI: 1942271606
Practice Locations (4)
KOOTENAI HEALTH INC
1919 LINCOLN WAY, SUITE 415
COEUR D ALENE, ID 838142527
2086256000
BRONSON METHODIST HOSPITAL
601 JOHN ST, SUITE 302
KALAMAZOO, MI 490075357
2693414890
BENEFIS HOSPITALS INC
1101 26TH ST S
GREAT FALLS, MT 594055161
4064555000
WELLMONT MEDICAL ASSOCIATES INC
1 MEDICAL PARK BLVD
BRISTOL, TN 376207430
4238441121
Source: CMS National Downloadable File, September 2026.