Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1988
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1003819459
Practice Locations (1)
IDAHO EYELID AND FACIAL PLASTIC SURGERY PLLC
111 W MAIN ST, SUITE 200
BOISE, ID 837027308
2083443220
Source: CMS National Downloadable File, September 2026.