Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1073554804
Practice Locations (2)
ST LUKES CLINIC-TREASURE VALLEY LLC
608 W HAYS ST
BOISE, ID 837025511
2083815970
ST LUKES CLINIC-TREASURE VALLEY LLC
610 W HAYS ST
BOISE, ID 837025511
2083815970
Source: CMS National Downloadable File, September 2026.