Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2003
NPI: 1457382244
Practice Locations (2)
CARIBOU MEMORIAL HOSPITAL
300 S 3RD
SODA SPRINGS, ID 832761559
CARIBOU MEDICAL CENTER, INC
300 S 3RD
SODA SPRINGS, ID 832761559
20854733417503
Source: CMS National Downloadable File, September 2026.