Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1558353821
Practice Locations (2)
ST LUKES CLINIC LLC
746 N COLLEGE RD
TWIN FALLS, ID 833013486
ST LUKES CLINIC LLC
801 POLE LINE RD W
TWIN FALLS, ID 833015811
Source: CMS National Downloadable File, September 2026.