Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1989
NPI: 1518018969
Practice Locations (2)
LOST RIVERS MEDICAL CENTER
551 HIGHLAND DR
ARCO, ID 832135003
2082527654
LOST RIVERS MEDICAL CENTER
313 HWY 93, MACKAY CLINIC
MACKAY, ID 832511111
2085882993
Source: CMS National Downloadable File, September 2026.