Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2015
Also: EMERGENCY MEDICINE
NPI: 1134579576
Practice Locations (1)
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
700 E ALICE ST
BLACKFOOT, ID 832214925
2087829938
Source: CMS National Downloadable File, September 2026.