Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 2012
NPI: 1548523020
Practice Locations (2)
ST LUKES CLINIC LLC
2550 ADDISON AVE E
TWIN FALLS, ID 833016748
ST LUKES CLINIC LLC
746 N COLLEGE RD
TWIN FALLS, ID 833013486
Source: CMS National Downloadable File, September 2026.