Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1987
Offers telehealth
NPI: 1962594234
Practice Locations (1)
KALISPEL INDIAN COMMUNITY OF THE KALISPEL RESERVATION WASHINGTON
1821 LECLERC RD N
CUSICK, WA 991195015
5094477111
Source: CMS National Downloadable File, September 2026.