Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1003800699
Practice Locations (5)
BMH INC
98 POPLAR ST
Blackfoot, ID 832211758
BMH INC
315 W IDAHO ST
BLACKFOOT, ID 832211711
2087823990
BMH INC
98 POPLAR ST
BLACKFOOT, ID 832211758
2087854100
BINGHAM MEMORIAL HOSPITAL
98 POPLAR ST
BLACKFOOT, ID 832211758
BMH INC
850 YELLOWSTONE AVE
POCATELLO, ID 832014415
2082398065
Source: CMS National Downloadable File, September 2026.