Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2004
NPI: 1265557656
Practice Locations (4)
ST LUKES CLINIC-TREASURE VALLEY LLC
100 E IDAHO ST
BOISE, ID 837126267
ST LUKES CLINIC-TREASURE VALLEY LLC
333 N 1ST ST, SUITE 110
BOISE, ID 837026115
2083813000
ST LUKES CLINIC-TREASURE VALLEY LLC
608 W HAYS ST
BOISE, ID 837025511
2083815970
ST LUKES CLINIC-TREASURE VALLEY LLC
610 W HAYS ST
BOISE, ID 837025511
2083815970
Source: CMS National Downloadable File, September 2026.