Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1144312182
Practice Locations (2)
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
1055 N CURTIS RD
BOISE, ID 837061309
2083672152
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
4300 E FLAMINGO AVE
NAMPA, ID 836873138
2082051000
Source: CMS National Downloadable File, September 2026.