Medical school: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated: 1989
NPI: 1053316786
Practice Locations (2)
ROCKY MOUNTAIN MEDICAL LLC
535 W SUNNYSIDE RD, SUITE 2
IDAHO FALLS, ID 834024647
2083579700
NORTH CANYON MEDICAL CENTER INC
840 N 4TH
MOUNTAIN HOME, ID 836472166
2089345237
Source: CMS National Downloadable File, September 2026.