Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated: 2020
NPI: 1003499013
Practice Locations (5)
5975 W OVERLAND RD
BOISE, ID 837093012
2084884998
ALERACARE OF IDAHO INC
3015 E GOLDSTONE DR, SUITE 130
MERIDIAN, ID 836421224
8885109298
PURE HEALTHCARE OF NEVADA LLC
1865 PLUMAS ST, SUITE 4
RENO, NV 895093386
7752189020
PURE INFUSION OF OREGON LLC
920 COUNTRY CLUB RD, SUITE 230B
EUGENE, OR 974016084
5414344401
16201 E INDIANA AVE, SUITE 3100
SPOKANE VALLEY, WA 992162844
8015909267
Source: CMS National Downloadable File, September 2026.