Graduated: 2016
NPI: 1235575044
Practice Locations (2)
FOOT AND ANKLE MEDICAL CENTER OF NAMPA, P.A.
1210 NW 16TH ST
FRUITLAND, ID 836192202
2084663338
FOOT AND ANKLE MEDICAL CENTER OF NAMPA, P.A.
203 12TH AVE RD
NAMPA, ID 836865012
2084663338
Source: CMS National Downloadable File, September 2026.