Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1985
NPI: 1730101148
Practice Locations (2)
6140 W CURTISIAN AVE, SUITE 400
BOISE, ID 837048907
2083275600
8800 W EMERALD ST
BOISE, ID 837048205
2083735000
Source: CMS National Downloadable File, September 2026.