Graduated: 2009
NPI: 1538495106
Practice Locations (4)
BEAR LAKE COUNTY MEMORIAL HOSPITAL
164 S 5TH ST
Montpelier, ID 832541557
BEAR LAKE COUNTY MEMORIAL HOSPITAL
164 S, 5TH
MONTPELIER, ID 832541557
BEAR LAKE COUNTY MEMORIAL HOSPITAL
164 S 5TH ST
MONTPELIER, ID 832541557
BEAR LAKE COUNTY MEMORIAL HOSPITAL
166 S 5TH ST
MONTPELIER, ID 832541557
2088471110
Source: CMS National Downloadable File, September 2026.