Graduated: 2023
NPI: 1306674197
Practice Locations (3)
MOUNTAIN VIEW HOSPITAL LLC
2325 CORONADO ST
IDAHO FALLS, ID 834047407
2085572700
COMMUNITY CARE WEST SIDE LLC
765 S UTAH AVE
IDAHO FALLS, ID 834025093
2085852600
CC POCATELLO LLC
1595 YELLOWSTONE AVE
POCATELLO, ID 832014203
2082330032
Source: CMS National Downloadable File, September 2026.