Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1306886767
Practice Locations (2)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
323 E RIVERSIDE DR, SUITE 224
EAGLE, ID 836166865
2083026000
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
3025 W CHERRY LN
MERIDIAN, ID 836428531
Source: CMS National Downloadable File, September 2026.