Graduated: 2018
NPI: 1043778624
Practice Locations (2)
NORTH IDAHO DAY SURGERY LLC
1593 E POLSTON AVE
POST FALLS, ID 838545326
2082622300
SYRINGA HEALTH AND WELLNESS LLC
1745 MAIN AVE
ST MARIES, ID 838611238
2085823145
Source: CMS National Downloadable File, September 2026.