Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1989
NPI: 1700862786
Practice Locations (5)
ST LUKES CLINIC-TREASURE VALLEY LLC
100 E BANNOCK ST
BOISE, ID 837126241
2083812983
ST LUKES CLINIC-TREASURE VALLEY LLC
115 W MAIN ST, SUITE 101
BOISE, ID 837027304
2083813915
ST LUKES CLINIC-TREASURE VALLEY LLC
190 E BANNOCK ST
BOISE, ID 837126241
2083819384
ST LUKES CLINIC-TREASURE VALLEY LLC
608 W HAYS ST
BOISE, ID 837025511
2083815970
ST LUKES CLINIC-TREASURE VALLEY LLC
610 W HAYS ST
BOISE, ID 837025511
2083815970
Source: CMS National Downloadable File, September 2026.