Graduated: 2020
NPI: 1962015149
Practice Locations (3)
MEDSTREAM ANESTHESIA PLLC
415 6TH ST
LEWISTON, ID 835012431
8283985244
CMSC LLC
3010 15TH AVE S
GREAT FALLS, MT 594055240
4062168000
PUBLIC HOSPITAL DISTRICT 1-A OF WHITMAN COUNTY
835 SE BISHOP BLVD
PULLMAN, WA 991635512
5093322541
Source: CMS National Downloadable File, September 2026.