Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1993
NPI: 1114961166
Practice Locations (1)
DIRECT ORTHOPEDIC CARE LLC
16818 N MARKETPLACE BLVD
NAMPA, ID 836875140
2083214000
Source: CMS National Downloadable File, September 2026.