Graduated: 2022
NPI: 1700509056
Practice Locations (3)
NORTHSTAR ANESTHESIA OF IDAHO PLLC
333 N 18TH AVE, SUITE C
POCATELLO, ID 832013358
2082347800
NORTHSTAR ANESTHESIA OF IDAHO PLLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082391000
PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY
200 PROSSER HEALTH DR
PROSSER, WA 993507832
5097886022
Source: CMS National Downloadable File, September 2026.