Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 2013
NPI: 1184067498
Practice Locations (1)
IDAHO EYELID AND FACIAL PLASTIC SURGERY PLLC
111 W MAIN ST, SUITE 200
BOISE, ID 837027308
2083443220
Source: CMS National Downloadable File, September 2026.