Graduated: 2003
NPI: 1306870498
Practice Locations (2)
INTERMOUNTAIN ANESTHESIA PA
3100 CHANNING WAY
IDAHO FALLS, ID 834047533
2085296111
TRINITY HEALTH
1 BURDICK EXPY W
MINOT, ND 587014406
7018575000
Source: CMS National Downloadable File, September 2026.