Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2003
NPI: 1396931010
Practice Locations (5)
ST LUKES CLINIC-TREASURE VALLEY LLC
100 E BANNOCK ST
BOISE, ID 837126241
2083812983
ST LUKES CLINIC-TREASURE VALLEY LLC
190 E BANNOCK ST
BOISE, ID 837126241
2083819384
ST LUKES CLINIC-TREASURE VALLEY LLC
305 E JEFFERSON ST
BOISE, ID 837126231
2083450715
ST LUKES CLINIC-TREASURE VALLEY LLC
608 W HAYS ST
BOISE, ID 837025511
2083815970
ST LUKES CLINIC-TREASURE VALLEY LLC
610 W HAYS ST
BOISE, ID 837025511
2083815970
Source: CMS National Downloadable File, September 2026.