Graduated: 2019
NPI: 1114572716
Practice Locations (3)
IDAHO PHYSICIAN SERVICES INC
2860 CHANNING WAY, SUITE 220
IDAHO FALLS, ID 834047541
2088006155
MUSC COMMUNITY PHYSICIANS
506 N ST
BAMBERG, SC 290031319
8032456290
MUSC COMMUNITY PHYSICIANS
2435 FOREST DR
COLUMBIA, SC 292042026
8032565300
Source: CMS National Downloadable File, September 2026.