Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1568559029
Practice Locations (2)
WALTER KNOX MEMORIAL HOSPITAL
1102 E LOCUST ST
EMMETT, ID 836172713
2083656004
WALTER KNOX MEMORIAL HOSPITAL
1202 E LOCUST ST
EMMETT, ID 836172715
2083653561
Source: CMS National Downloadable File, September 2026.