Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2009
NPI: 1164657854
Practice Locations (1)
ST LUKES CLINIC-TREASURE VALLEY LLC
600 N ROBBINS RD, SUITE 302
BOISE, ID 837024565
2087065930
Source: CMS National Downloadable File, September 2026.