Graduated: 2017
NPI: 1164043162
Practice Locations (2)
EXODUS PAIN CLINIC
409 E ELM ST
CALDWELL, ID 836054847
2089477246
TREASURE VALLEY PAIN CENTER LLC
2102 W EVEREST LN, SUITE 100
MERIDIAN, ID 836467033
2085054744
Source: CMS National Downloadable File, September 2026.