Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1790770246
Practice Locations (3)
ST LUKES CLINIC-TREASURE VALLEY LLC
190 E BANNOCK ST
BOISE, ID 837126241
2083819384
FULL CIRCLE HEALTH INC
6565 W EMERALD ST
BOISE, ID 837048737
2085142510
FULL CIRCLE HEALTH INC
777 N RAYMOND ST
BOISE, ID 837049251
2085142500
Source: CMS National Downloadable File, September 2026.