Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2017
NPI: 1881134211
Practice Locations (2)
UTAH REGIONAL HOSPITALISTS LLC
3100 CHANNING WAY
IDAHO FALLS, ID 834047533
2085296111
SANTIBANEZ PAC IDAHO
840 E ELVA ST
IDAHO FALLS, ID 834012801
2085234795
Source: CMS National Downloadable File, September 2026.