Medical school: AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated: 2023
NPI: 1487388997
Practice Locations (2)
MOUNTAIN PINE DERMATOLOGY PLLC
4664 N PENNGROVE WAY
MERIDIAN, ID 836467442
2088987467
MOUNTAIN PINE DERMATOLOGY PLLC
4664 N PENNGROVE WAY, SUITE 100
MERIDIAN, ID 836467442
2088987467
Source: CMS National Downloadable File, September 2026.