Graduated: 2000
NPI: 1528045283
Practice Locations (2)
SPINE INSTITUTE OF IDAHO PA
1906 FAIRVIEW AVE, SUITE 420
CALDWELL, ID 836055425
2088552900
SPINE INSTITUTE OF IDAHO PA
360 E MONTVUE DR
MERIDIAN, ID 836426318
2088552900
Source: CMS National Downloadable File, September 2026.