Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1578566253
Practice Locations (2)
FULL CIRCLE HEALTH INC
777 N RAYMOND ST
BOISE, ID 837049251
2085142500
FULL CIRCLE HEALTH INC
2275 S EAGLE RD, SUITE 120
MERIDIAN, ID 836422620
2085142520
Source: CMS National Downloadable File, September 2026.