Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 2014
NPI: 1043620255
Practice Locations (2)
450 W STATE ST, SUITE 250
EAGLE, ID 836166974
2085087966
339 DEINHARD LN
MCCALL, ID 836384703
2086342020
Source: CMS National Downloadable File, September 2026.