Medical school: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1770796583
Practice Locations (1)
EAST IDAHO EAR NOSE THROAT-FACIAL PLASTIC SURGERY PA
3446 S 15TH
IDAHO FALLS, ID 834048262
2085226335
Source: CMS National Downloadable File, September 2026.