Graduated: 2000
NPI: 1043332901
Practice Locations (2)
MOUNTAIN LAND REHABILITATION LLC
2210 CORONADO ST
IDAHO FALLS, ID 834047552
2083173956
VALLEY FOOT AND ANKLE PC
1455 BENCH RD, SUITE B
POCATELLO, ID 832015084
2082320006
Source: CMS National Downloadable File, September 2026.