Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2013
NPI: 1295160695
Practice Locations (2)
11646 N EASTSHORE DR
Hayden, ID 838356984
PO BOX, SUITE 397
HAYDEN, ID 83835
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2013
NPI: 1295160695
11646 N EASTSHORE DR
Hayden, ID 838356984
PO BOX, SUITE 397
HAYDEN, ID 83835
Source: CMS National Downloadable File, September 2026.