Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2009
NPI: 1609003656
Practice Locations (1)
ST LUKES CLINIC-TREASURE VALLEY LLC
1906 FAIRVIEW AVE, SUITE 350
CALDWELL, ID 836055425
2084549181
Source: CMS National Downloadable File, September 2026.