Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1994
NPI: 1669405791
Practice Locations (3)
FAMILY PRACTICE GROUP, P.A.
1951 BENCH RD B
Pocatello, ID 832012073
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.