Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2022
Also: FAMILY PRACTICE
NPI: 1760131841
Practice Locations (2)
COMMUNITY COUNCIL OF IDAHO, INC.
2100 ALAN ST
IDAHO FALLS, ID 834045801
2085287655
UTAH REGIONAL HOSPITALISTS LLC
3100 CHANNING WAY
IDAHO FALLS, ID 834047533
2085296111
Source: CMS National Downloadable File, September 2026.