Graduated: 2013
NPI: 1104253376
Practice Locations (2)
NORTHWEST HBP MEDICAL SERVICES LLC
6200 N LA CHOLLA BLVD
TUCSON, AZ 857413529
5202292657
POCATELLO HEALTH SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082391720
Source: CMS National Downloadable File, September 2026.