Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1996
NPI: 1922042209
Practice Locations (2)
ST LUKES CLINIC LLC
730 N COLLEGE RD
TWIN FALLS, ID 833013382
ST LUKES CLINIC LLC
746 N COLLEGE RD
TWIN FALLS, ID 833013486
Source: CMS National Downloadable File, September 2026.