Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2023
NPI: 1407537400
Practice Locations (2)
MVH PIC LLC
134 W CHUBBUCK RD, SUITE B
CHUBBUCK, ID 832022383
2082377911
MVH PIC LLC
495 YELLOWSTONE AVE
POCATELLO, ID 832014531
2084787422
Source: CMS National Downloadable File, September 2026.