Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1999
Also: OSTEOPATHIC MANIPULATIVE MEDICINE
NPI: 1508890682
Practice Locations (2)
LOST RIVERS MEDICAL CENTER
551 HIGHLAND DR
ARCO, ID 832135003
2082527654
RIDGELINE MEDICAL LLC
2470 JAFER CT
IDAHO FALLS, ID 834045587
2087159990
Source: CMS National Downloadable File, September 2026.