Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2016
NPI: 1912205675
Practice Locations (4)
GEM STATE RADIOLOGY LLP
1055 N CURTIS RD
BOISE, ID 837061309
2083672161
INTERMOUNTAIN MEDICAL IMAGING LLC
2929 E MAGIC VIEW DR
MERIDIAN, ID 836423560
2089548127
INTERMOUNTAIN MEDICAL IMAGING LLC
875 S VANGUARD WAY, SUITE 100
MERIDIAN, ID 836428541
2089548100
GEM STATE RADIOLOGY LLP
3325 POCAHONTAS RD
BAKER CITY, OR 978141464
5415238137
Source: CMS National Downloadable File, September 2026.