Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1477593648
Practice Locations (2)
WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC
1717 ARLINGTON AVE
CALDWELL, ID 836054802
2084594641
WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC
315 E ELM ST
CALDWELL, ID 836054881
Source: CMS National Downloadable File, September 2026.