Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1999
NPI: 1164491460
Practice Locations (3)
POCATELLO HEALTH SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
IDAHO SPORTS AND SPINE PLLC
950 HOSPITAL WAY, SUITE A
POCATELLO, ID 832012762
2084784522
POCATELLO HEALTH SERVICES LLC
950 HOSPITAL WAY A
POCATELLO, ID 832012764
2084784522
Source: CMS National Downloadable File, September 2026.