Graduated: 2011
NPI: 1053695676
Practice Locations (4)
IDAHO UROLOGIC INSTITUTE PA
222 N 2ND ST, SUITE 115
BOISE, ID 837026129
2086394900
BRIDGEWAY HEALTH SERVICES LLC
1032 S BRIDGEWAY PL, SUITE 110
EAGLE, ID 836166099
2082460123
IDAHO UROLOGIC INSTITUTE PA
2855 E MAGIC VIEW DR
MERIDIAN, ID 836426245
2086394900
IDAHO UROLOGIC INSTITUTE PA
6195 E HUNT AVE
NAMPA, ID 836878317
2086394900
Source: CMS National Downloadable File, September 2026.