Graduated: 2019
NPI: 1134484751
Practice Locations (2)
GLENNS FERRY HEALTH CENTER INC
486 W 1ST AVE
GLENNS FERRY, ID 836232701
2083667416
GLENNS FERRY HEALTH CENTER INC
120 DESERT SAGE WAY
MOUNTAIN HOME, ID 836471038
2085873988
Source: CMS National Downloadable File, September 2026.