Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1386743862
Practice Locations (3)
NOT TSOO GAH NEE INDIAN HEALTH
717 MISSION RD
FORT HALL, ID 832030717
NOT TSOO GAH NEE INDIAN HEALTH
MISSION RD
FORT HALL, ID 832030717
2082385400
NOT TSOO GAH NEE INDIAN HEALTH
PO BOX 717 MISSION RD
FORT HALL, ID 832030717
Source: CMS National Downloadable File, September 2026.