Medical school: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated: 1989
NPI: 1720024094
Practice Locations (2)
WEISER VALLEY HOSPITAL DISTRICT
190 E BANNOCK ST
BOISE, ID 837126241
2085490370
BOISE RADIOLOGY GROUP PLLC
190 E BANNOCK ST
BOISE, ID 837126241
2083812094
Source: CMS National Downloadable File, September 2026.