Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2019
NPI: 1013477652
Practice Locations (1)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
1055 N CURTIS RD
BOISE, ID 837061309
2083672121
Source: CMS National Downloadable File, September 2026.