Graduated: 2006
NPI: 1780739847
Practice Locations (5)
BEAR LAKE COUNTY MEMORIAL HOSPITAL
164 S 5TH ST
Montpelier, ID 832541557
BEAR LAKE COUNTY MEMORIAL HOSPITAL
164 S
MONTPELIER, ID 832541557
BEAR LAKE COUNTY MEMORIAL HOSPITAL
164 S, 5TH
MONTPELIER, ID 832541557
BEAR LAKE COUNTY MEMORIAL HOSPITAL
164 S 5TH ST
MONTPELIER, ID 832541557
BEAR LAKE COUNTY MEMORIAL HOSPITAL
166 S 5TH ST
MONTPELIER, ID 832541557
2088471110
Source: CMS National Downloadable File, September 2026.