Graduated: 1999
NPI: 1205823978
Practice Locations (2)
NORTHSTAR ANESTHESIA OF IDAHO PLLC
333 N 18TH AVE, SUITE C
POCATELLO, ID 832013358
2082347800
NORTHSTAR ANESTHESIA OF IDAHO PLLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082391000
Source: CMS National Downloadable File, September 2026.