Graduated: 2004
NPI: 1598737801
Practice Locations (4)
ST LUKES CLINIC LLC
625 POLE LINE RD W, SUITE 1A
TWIN FALLS, ID 833014269
2088145250
GREAT LAKES PHYSICIAN PRACTICE PC
15 S MAIN ST
JAMESTOWN, NY 147016627
GREAT LAKES PHYSICIAN PRACTICE PC
31 SHERMAN ST, SUITE 2400
JAMESTOWN, NY 147017082
8144835306
PHYSICIAN CARE PC
140 W 6TH ST, SUITE 210
OSWEGO, NY 131262554
3153495828
Source: CMS National Downloadable File, September 2026.