Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1558312199
Practice Locations (2)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
900 N LIBERTY ST, SUITE 206
BOISE, ID 837048729
2083021100
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
3025 W CHERRY LN
MERIDIAN, ID 836428531
Source: CMS National Downloadable File, September 2026.