Graduated: 2009
NPI: 1376876599
Practice Locations (2)
NORTH CANYON MEDICAL CENTER INC
491 HERITAGE DR
JEROME, ID 833386701
2086447500
PHYSICIANS IMMEDIATE CARE OF TWIN FALLS PA
243 CHENEY DR W, SUITE 200
TWIN FALLS, ID 833014278
2087367422
Source: CMS National Downloadable File, September 2026.