Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 2013
NPI: 1124464615
Practice Locations (1)
ST LUKES CLINIC-TREASURE VALLEY LLC
701 E PARKCENTER BLVD
BOISE, ID 837066528
2083816500
Source: CMS National Downloadable File, September 2026.