Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 2014
NPI: 1821418120
Practice Locations (2)
ST LUKES CLINIC LLC
775 POLE LINE RD W
TWIN FALLS, ID 833015814
2088141500
REVERE HEALTH PC
1055 N 500
PROVO, UT 846043305
8013741268
Source: CMS National Downloadable File, September 2026.