Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2019
NPI: 1629631700
Practice Locations (2)
FAMILY PRACTICE GROUP, P.A.
1951 BENCH RD
POCATELLO, ID 832012073
2082381000
HEALTH WEST INC
465 MEMORIAL DR
POCATELLO, ID 832014008
20823278621122
Source: CMS National Downloadable File, September 2026.