Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2021
NPI: 1659801207
Practice Locations (5)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
3025 W CHERRY LN
MERIDIAN, ID 836428531
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
1510 12TH AVE RD, SUITE 200
NAMPA, ID 836866008
2083026899
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
1512 12TH AVE RD, SUITE 100
NAMPA, ID 836866008
2084671171
GRANGER MEDICAL CLINIC PC
12391 S 4000
RIVERTON, UT 840967012
8013021700
GRANGER MEDICAL CLINIC PC
2965 W 3500
WEST VALLEY CITY, UT 841193602
8019653600
Source: CMS National Downloadable File, September 2026.