Medical school: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated: 1997
NPI: 1861507857
Practice Locations (2)
2900 VALENCIA DR
Idaho Falls, ID 834047594
2900 VALENCIA DR
IDAHO FALLS, ID 834047594
2085236868
Source: CMS National Downloadable File, September 2026.