Medical school: AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated: 2012
NPI: 1538422019
Practice Locations (1)
UPPER VALLEY COMMUNITY HEALTH SERVICES INC
335 E MAIN ST, SUITE 1
SAINT ANTHONY, ID 834451546
2083564900
Source: CMS National Downloadable File, September 2026.