Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1998
Also: SPORTS MEDICINE
NPI: 1306842182
Practice Locations (2)
1702 W FAIRVIEW AVE
BOISE, ID 837025121
2089577400
190 E BANNOCK ST
BOISE, ID 837126241
Source: CMS National Downloadable File, September 2026.