Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1995
NPI: 1700927902
Practice Locations (5)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
6533 W EMERALD ST
BOISE, ID 837048737
2083025200
ST LUKES CLINIC - MCCALL LLC
200 FOREST ST
MCCALL, ID 836385256
2086302470
ST LUKES CLINIC - MCCALL LLC
209 FOREST ST
MCCALL, ID 836385256
2086371776
ST LUKES CLINIC - MCCALL LLC
211 FOREST ST
MCCALL, ID 836385256
2086342225
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
3025 W CHERRY LN
MERIDIAN, ID 836428531
Source: CMS National Downloadable File, September 2026.