Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 2000
NPI: 1558361717
Practice Locations (2)
1590 E POLSTON AVE, SUITE A
POST FALLS, ID 838545218
2087779794
1590 E POLSTON AVE A
POST FALLS, ID 838545218
Source: CMS National Downloadable File, September 2026.