Graduated: 2018
NPI: 1295010148
Practice Locations (2)
POCATELLO HEALTH SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082391720
ST LUKES CLINIC LLC
801 POLE LINE RD W
TWIN FALLS, ID 833015810
2088141000
Source: CMS National Downloadable File, September 2026.