Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2001
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1215943295
Practice Locations (1)
MOUNTAIN VIEW HOSPITAL LLC
2325 CORONADO ST
IDAHO FALLS, ID 834047407
2085572700
Source: CMS National Downloadable File, September 2026.