Graduated: 1993
NPI: 1114948809
Practice Locations (3)
MEDICAL DIRECTORS OF IDAHO PLLC
6000 W DENTON ST
BOISE, ID 837049310
2086294383
MEDICAL DIRECTORS OF IDAHO PLLC
909 E RESERVE ST
BOISE, ID 837126508
2083437717
MEDICAL DIRECTORS OF IDAHO PLLC
331 E PARK ST
WEISER, ID 836722053
2085492416
Source: CMS National Downloadable File, September 2026.