Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1993
NPI: 1497715866
Practice Locations (2)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
6533 W EMERALD ST
BOISE, ID 837048737
2083025200
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
3025 W CHERRY LN
MERIDIAN, ID 836428531
Source: CMS National Downloadable File, September 2026.