Graduated: 2011
NPI: 1215208152
Practice Locations (2)
NORTH CANYON MEDICAL CENTER INC
267 N CANYON DR
GOODING, ID 833305500
2089344433
BLUE LAKES ANESTHESIA
2092 DAWSON DR
TWIN FALLS, ID 833013195
2087343356
Source: CMS National Downloadable File, September 2026.