Graduated: 2007
NPI: 1649453028
Practice Locations (2)
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
1055 N CURTIS RD
BOISE, ID 837061309
2083672152
INTERMOUNTAIN AMBULATORY ANESTHESIA, PLLC
875 S VANGUARD WAY, SUITE 120
MERIDIAN, ID 836428541
2089600851
Source: CMS National Downloadable File, September 2026.