Graduated: 1996
NPI: 1316981632
Practice Locations (3)
ST LUKES CLINIC-TREASURE VALLEY LLC
305 E JEFFERSON ST
BOISE, ID 837126231
2083450715
ST LUKES CLINIC-TREASURE VALLEY LLC
608 W HAYS ST
BOISE, ID 837025511
2083815970
ST LUKES CLINIC-TREASURE VALLEY LLC
610 W HAYS ST
BOISE, ID 837025511
2083815970
Source: CMS National Downloadable File, September 2026.