Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 2000
NPI: 1578753091
Practice Locations (2)
1628 ELK CREEK DR
IDAHO FALLS, ID 834048349
2085288700
MOUNTAIN VIEW HOSPITAL LLC
2325 CORONADO ST
IDAHO FALLS, ID 834047407
2085572700
Source: CMS National Downloadable File, September 2026.