Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1978
NPI: 1902809205
Practice Locations (2)
2000 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 836473138
DOCTORS CLINIC OF ELMORE COUNTY PLLC
2000 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 836473138
2085871500
Source: CMS National Downloadable File, September 2026.