Graduated: 1985
NPI: 1093708539
Practice Locations (3)
POCATELLO HEALTH SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
SOUTHWEST MEDICAL ASSOCIATES, LLC
10511 GOLF COURSE RD NW, SUITE 201
ALBUQUERQUE, NM 871145917
5057274500
MERCY HOSPITAL OKLAHOMA CITY, INC
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 731208304
4057551515
Source: CMS National Downloadable File, September 2026.