Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2004
NPI: 1669443909
Practice Locations (3)
ST LUKES CLINIC LLC
746 N COLLEGE RD
TWIN FALLS, ID 833013486
ST LUKES CLINIC LLC
775 POLE LINE RD W
TWIN FALLS, ID 833015820
ST LUKES CLINIC LLC
801 POLE LINE RD W
TWIN FALLS, ID 833015810
Source: CMS National Downloadable File, September 2026.