Medical school: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated: 2011
NPI: 1356636609
Practice Locations (2)
POCATELLO HEALTH SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082391720
MOAB VALLEY HEALTHCARE, INC.
476 WILLIAMS WAY
MOAB, UT 845322186
4357195500
Source: CMS National Downloadable File, September 2026.