Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1871548990
Practice Locations (2)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
3025 W CHERRY LN
MERIDIAN, ID 836428531
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
4300 E FLAMINGO AVE
NAMPA, ID 836873138
2082051000
Source: CMS National Downloadable File, September 2026.