Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2001
NPI: 1275621963
Practice Locations (2)
CARIBOU MEMORIAL HOSPITAL
300 S 3RD
SODA SPRINGS, ID 832761559
CARIBOU MEDICAL CENTER, INC
300 S 3RD
SODA SPRINGS, ID 832761559
20854733417503
Source: CMS National Downloadable File, September 2026.