Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1346432226
Practice Locations (2)
HIGH VALLEY DERMATOLOGY AND DERMATOLOGIC SURGERY PLLC
2085 PROVIDENCE WAY
Idaho Falls, ID 834044945
HIGH VALLEY DERMATOLOGY AND DERMATOLOGIC SURGERY PLLC
2085 PROVIDENCE WAY
IDAHO FALLS, ID 834044945
2085254888
Source: CMS National Downloadable File, September 2026.