Graduated: 2020
NPI: 1255908489
Practice Locations (2)
MERIDIAN ADVANCED PSYCHIATRY , LLC
1672 S WOODSAGE AVE, SUITE 120
MERIDIAN, ID 836427670
2085152273
ALLIANCE MEDICAL GROUP LLC
1115 12TH AVE RD
NAMPA, ID 836865738
2084981080
Source: CMS National Downloadable File, September 2026.