Graduated: 2009
NPI: 1730313586
Practice Locations (2)
ALLIANCE MEDICAL GROUP LLC
1895 MCGRATH RD
EAGLE, ID 836166243
2089398200
OPTIMAL HEALTHCARE PLLC
323 E RIVERSIDE DR, SUITE 234
EAGLE, ID 836166865
2085143362
Source: CMS National Downloadable File, September 2026.