Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
Also: ALLERGY/IMMUNOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1396763272
Practice Locations (2)
6077 N EAGLE RD
BOISE, ID 837130997
2089399000
SPECIALTY CLINICS OF IDAHO INC
230 2ND ST S
NAMPA, ID 836513709
2084339300
Source: CMS National Downloadable File, September 2026.