Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1995
NPI: 1215933940
Practice Locations (2)
318 2ND ST S
NAMPA, ID 836513765
DERMATOLOGY CENTER OF CANYON COUNTY
318 2ND ST S
NAMPA, ID 836513765
2084633006
Source: CMS National Downloadable File, September 2026.