Graduated: 2001
NPI: 1598705311
Practice Locations (2)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
3025 W CHERRY LN
MERIDIAN, ID 836428531
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
1150 N SISTER CATHERINE WAY
NAMPA, ID 836873133
2083027000
Source: CMS National Downloadable File, September 2026.