Medical school: CALIFORNIA UNIVERSITY OF SCIENCE AND MEDICINE
Graduated: 2001
NPI: 1871074161
Practice Locations (3)
4271 E BLUEBERRY LN
Meridian, ID 836427357
3006 E GOLDSTONE DR
MERIDIAN, ID 836421549
2082507597
4271 E BLUEBERRY LN
MERIDIAN, ID 836427357
Source: CMS National Downloadable File, September 2026.