Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2001
NPI: 1922072586
Practice Locations (1)
IDAHO EYE CENTER PA
2025 E 17TH ST
IDAHO FALLS, ID 834046430
2085242025
Source: CMS National Downloadable File, September 2026.