Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1975
Also: INTERNAL MEDICINE
NPI: 1821055492
Practice Locations (1)
POCATELLO HEALTH SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
Source: CMS National Downloadable File, September 2026.