Graduated: 2006
NPI: 1922257500
Practice Locations (2)
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
1055 N CURTIS RD
BOISE, ID 837061309
2083672152
IU HEALTH MEDICAL GROUP, LLC
5165 MCCARTY LN
LAFAYETTE, IN 479058764
8884843258
Source: CMS National Downloadable File, September 2026.