Graduated: 2018
NPI: 1508355538
Practice Locations (2)
INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC
512 POLE LINE RD, SUITE 2
TWIN FALLS, ID 833016367
2082540047
INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC
512 S POLE LINE RD E, SUITE 2
TWIN FALLS, ID 833016367
Source: CMS National Downloadable File, September 2026.