Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1996
Also: EMERGENCY MEDICINE
NPI: 1407925639
Practice Locations (2)
TETON VALLEY HEALTH CARE INC
283 N 1ST ST
DRIGGS, ID 834225109
2083542302
TETON VALLEY HEALTH CARE INC
83 N MAIN ST
VICTOR, ID 834551301
2083546307
Source: CMS National Downloadable File, September 2026.