Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1994
NPI: 1831131085
Practice Locations (2)
COMMUNITY HEALTH CLINICS INC
300 S 23RD ST
BOISE, ID 837029100
2083443512
COMMUNITY HEALTH CLINICS INC
207 1ST ST S
NAMPA, ID 836513703
2084667869
Source: CMS National Downloadable File, September 2026.