Graduated: 2016
NPI: 1871941724
Practice Locations (3)
MOUNTAIN VIEW HOSPITAL LLC
2325 CORONADO ST
IDAHO FALLS, ID 834047407
2085572700
MADISON MEMORIAL HOSPITAL
450 E MAIN ST
REBURG, ID 834402048
2083596516
TETON MEDICAL GROUP PLLC
255 N 3RD
REXBURG, ID 834401629
2083567585
Source: CMS National Downloadable File, September 2026.