Graduated: 2022
NPI: 1033837893
Practice Locations (2)
BEAR LAKE COUNTY MEMORIAL HOSPITAL
166 S 5TH ST
MONTPELIER, ID 832541557
2088471110
BEAR LAKE COUNTY MEMORIAL HOSPITAL
288 S PARADISE PKWY
GARDEN CITY, UT 840287909
4352551630
Source: CMS National Downloadable File, September 2026.