Graduated: 2005
NPI: 1144268574
Practice Locations (2)
NORTH IDAHO DAY SURGERY LLC
1593 E POLSTON AVE
POST FALLS, ID 838545326
2082622300
NORTH IDAHO DAY SURGERY LLC
750 N SYRINGA ST
POST FALLS, ID 838545275
Source: CMS National Downloadable File, September 2026.