Graduated: 2012
NPI: 1881935104
Practice Locations (2)
MOUNTAIN VIEW HOSPITAL LLC
2305 CORONADO ST
IDAHO FALLS, ID 834047407
2085221764
COMMUNITY CARE WEST SIDE LLC
765 S UTAH AVE
IDAHO FALLS, ID 834025093
2085852600
Source: CMS National Downloadable File, September 2026.