Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1134155229
Practice Locations (2)
WEISER VALLEY HOSPITAL DISTRICT
190 E BANNOCK ST
BOISE, ID 837126241
2085490370
BOISE RADIOLOGY GROUP PLLC
190 E BANNOCK ST
BOISE, ID 837126241
2083812094
Source: CMS National Downloadable File, September 2026.