Graduated: 2013
NPI: 1407277924
Practice Locations (5)
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
1055 N CURTIS RD
BOISE, ID 837061309
2083672152
ST LUKES CLINIC - WOOD RIVER LLC
100 HOSPITAL DR
KETCHUM, ID 83340
ST LUKES CLINIC - WOOD RIVER LLC
100 HOSPITAL DR
KETCHUM, ID 833409998
ST LUKES CLINIC - WOOD RIVER LLC
100 HOSPITAL DR, SUITE 109
KETCHUM, ID 83340
2086228811
ST LUKES CLINIC - WOOD RIVER LLC
191 5TH ST W
KETCHUM, ID 833409998
2087252171
Source: CMS National Downloadable File, September 2026.