Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2009
Offers telehealth
NPI: 1013145754
Practice Locations (3)
8119 W USTICK RD
BOISE, ID 837045754
2083763600
8119 W USTICK RD, SUITE 103
BOISE, ID 837045754
1718 S MILLENNIUM WAY
Meridian, ID 836421511
Source: CMS National Downloadable File, September 2026.