Graduated: 1983
NPI: 1598843039
Practice Locations (2)
NORTH CANYON MEDICAL CENTER INC
718 HWY 30
BUHL, ID 833165039
20893444331606
NORTH CANYON MEDICAL CENTER INC
491 HERITAGE DR
JEROME, ID 833386701
2086447500
Source: CMS National Downloadable File, September 2026.