Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
NPI: 1093842031
Practice Locations (3)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
3025 W CHERRY LN
MERIDIAN, ID 836428531
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
10717 W STATE ST
STAR, ID 836696046
2083026300
STGI HEALTH, LLC
108 ALBRIGHT AVE
YELLOWSTONE NATIONAL PARK, WY 821909607
7035786030
Source: CMS National Downloadable File, September 2026.