Medical school: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated: 2006
NPI: 1760496533
Practice Locations (1)
NORTHSTAR ANESTHESIA OF IDAHO PLLC
333 N 18TH AVE, SUITE C
POCATELLO, ID 832013358
2082347800
Source: CMS National Downloadable File, September 2026.