Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1962416701
Practice Locations (3)
NOT TSOO GAH NEE INDIAN HEALTH
717 MISSION RD
FORT HALL, ID 832030717
NOT TSOO GAH NEE INDIAN HEALTH
MISSION RD
FORT HALL, ID 832030717
2082385400
NOT TSOO GAH NEE INDIAN HEALTH
PO BOX 717 MISSION RD
FORT HALL, ID 832030717
Source: CMS National Downloadable File, September 2026.