Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1528049905
Practice Locations (2)
CARIBOU MEMORIAL HOSPITAL
300 S 3RD
SODA SPRINGS, ID 832761559
CARIBOU MEDICAL CENTER, INC
300 S 3RD
SODA SPRINGS, ID 832761559
20854733417503
Source: CMS National Downloadable File, September 2026.