Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 1998
NPI: 1477537280
Practice Locations (2)
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
1055 N CURTIS RD
BOISE, ID 837061309
2083672152
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
4300 E FLAMINGO AVE
NAMPA, ID 836873138
2082051000
Source: CMS National Downloadable File, September 2026.