Graduated: 2010
NPI: 1659689362
Practice Locations (2)
CEP AMERICA LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082391000
IDAHO SPORTS AND SPINE PLLC
950 HOSPITAL WAY, SUITE A
POCATELLO, ID 832012762
2084784522
Source: CMS National Downloadable File, September 2026.