Graduated: 2006
Also: OSTEOPATHIC MANIPULATIVE MEDICINE
NPI: 1275735045
Practice Locations (2)
ONEIDA COUNTY HOSPITAL
150 N 200
MALAD CITY, ID 832521239
2087662231
ONEIDA COUNTY HOSPITAL
220 BANNOCK ST
MALAD CITY, ID 832525068
2087662600
Source: CMS National Downloadable File, September 2026.