Graduated: 2024
NPI: 1992535264
Practice Locations (2)
ORTHOPEDIC SURGERY AND SPORTS
1812 N LAKEWOOD DR, SUITE 100
COEUR D ALENE, ID 838142635
2089664476
ORTHOPEDIC SURGERY AND SPORTS
1160 E POLSTON AVE, SUITE B
POST FALLS, ID 838546045
2082620156
Source: CMS National Downloadable File, September 2026.