Graduated: 2010
NPI: 1245550268
Practice Locations (2)
LOST RIVERS MEDICAL CENTER
551 HIGHLAND DR
ARCO, ID 832135003
2082527654
LOGAN MEDICAL GROUP LLC
2150 N MAIN ST, SUITE 3
NORTH LOGAN, UT 843411740
4357168765
Source: CMS National Downloadable File, September 2026.