Graduated: 2010
NPI: 1891097234
Practice Locations (3)
INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC
512 POLE LINE RD, SUITE 2
TWIN FALLS, ID 833016367
2082540047
INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC
512 S POLE LINE RD E, SUITE 2
TWIN FALLS, ID 833016367
INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC
526 SHOUP AVE W, SUITE D
TWIN FALLS, ID 833015050
2087353636
Source: CMS National Downloadable File, September 2026.