Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1998
NPI: 1215904966
Practice Locations (1)
IDAHO EAR CLINIC PLLC
1209 N SUMMERBROOK AVE, SUITE 100
MERIDIAN, ID 836428750
2089385823
Source: CMS National Downloadable File, September 2026.