Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2017
Offers telehealth
NPI: 1023543899
Practice Locations (1)
INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC
1411 FALL AVE, SUITE 1301
TWIN FALLS, ID 833013467
2082540047
Source: CMS National Downloadable File, September 2026.