Graduated: 2019
NPI: 1245793058
Practice Locations (2)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
3025 W CHERRY LN
MERIDIAN, ID 836428531
HARBOR HEALTH MEDICAL GROUP
177 KIRKHAM CIR
KYLE, TX 786409703
8554818375
Source: CMS National Downloadable File, September 2026.