Medical school: LOS ANGELES COLLEGE OF CHIROPRACTIC
Graduated: 1986
NPI: 1851467559
Practice Locations (2)
211 S WOODRUFF AVE
IDAHO FALLS, ID 834014865
211 S WOODRUFF AVE, A1
IDAHO FALLS, ID 834014865
2085222122
Source: CMS National Downloadable File, September 2026.