Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1991
NPI: 1518908581
Practice Locations (1)
LIFEPOINT REHAB PHYSICIAN SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082391000
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1991
NPI: 1518908581
LIFEPOINT REHAB PHYSICIAN SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082391000
Source: CMS National Downloadable File, September 2026.