Graduated: 2001
NPI: 1720162365
Practice Locations (2)
POCATELLO HEALTH SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
LANDER VALLEY PHYSICIAN PRACTICES LLC
1005 COLLEGE VIEW DR
RIVERTON, WY 825012289
3078573488
Source: CMS National Downloadable File, September 2026.