Graduated: 2018
NPI: 1679723282
Practice Locations (3)
1025 S BRIDGEWAY PL, SUITE 280
EAGLE, ID 836166825
247 E LAGUNA SHORE DR
EAGLE, ID 836167071
815 S BRIDGE WAY PL
EAGLE, ID 836166007
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 2018
NPI: 1679723282
1025 S BRIDGEWAY PL, SUITE 280
EAGLE, ID 836166825
247 E LAGUNA SHORE DR
EAGLE, ID 836167071
815 S BRIDGE WAY PL
EAGLE, ID 836166007
Source: CMS National Downloadable File, September 2026.