Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2015
NPI: 1215321153
Practice Locations (4)
BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
1055 N CURTIS RD
BOISE, ID 837061309
2083672121
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
3025 W CHERRY LN
MERIDIAN, ID 836428531
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
4300 E FLAMINGO AVE
NAMPA, ID 836873138
2082051000
Source: CMS National Downloadable File, September 2026.