Graduated: 2002
NPI: 1528097102
Practice Locations (3)
FALL RIVER MEDICAL PLLC
2000 TRAPPERS LOOP
Rexburg, ID 834404104
FALL RIVER MEDICAL PLLC
2000 TRAPPERS LOOP
REXBURG, ID 834404104
2088815222
FALL RIVER MEDICAL PLLC
21 WINN DR
REXBURG, ID 834405277
Source: CMS National Downloadable File, September 2026.