Graduated: 2009
NPI: 1396070611
Practice Locations (3)
UTAH REGIONAL HOSPITALISTS LLC
3100 CHANNING WAY
IDAHO FALLS, ID 834047533
2085296111
SANTIBANEZ PAC IDAHO
3620 POTOMAC WAY
IDAHO FALLS, ID 834048286
2085280467
MINIDOKA MEMORIAL HOSPITAL
1224 8TH ST
RUPERT, ID 833501527
20843604813167
Source: CMS National Downloadable File, September 2026.