Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1982
Offers telehealth
NPI: 1457337446
Practice Locations (2)
IDAHO PHYSICAL MEDICINE AND REHABILITATION PA
161 E MALLARD DR, SUITE 120
BOISE, ID 837065015
2084894016
IDAHO PHYSICAL MEDICINE AND REHABILITATION PA
3551 E OVERLAND RD
MERIDIAN, ID 836426757
2088841333
Source: CMS National Downloadable File, September 2026.