Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 1998
Offers telehealth
NPI: 1619067436
Practice Locations (1)
SOUTHWEST IDAHO EAR NOSE AND THROAT
900 N LIBERTY ST, SUITE 400
BOISE, ID 837048707
2083364368
Source: CMS National Downloadable File, September 2026.