Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1326156282
Practice Locations (2)
NORTH CANYON MEDICAL CENTER INC
267 N CANYON DR
Gooding, ID 833305500
NORTH CANYON MEDICAL CENTER INC
267 N CANYON DR
GOODING, ID 833305500
2089344433
Source: CMS National Downloadable File, September 2026.