Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1033193255
Practice Locations (3)
NORTH CANYON MEDICAL CENTER INC
267 N CANYON DR
Gooding, ID 833305500
NORTH CANYON MEDICAL CENTER INC
267 N CANYON DR
GOODING, ID 833305500
2089344433
PRIMARY THERAPY SOURCE, LLC
254 RIVER VISTA PL
TWIN FALLS, ID 833013006
2087347333
Source: CMS National Downloadable File, September 2026.