Graduated: 2021
NPI: 1952066177
Practice Locations (2)
MOUNTAIN VIEW HOSPITAL LLC
2725 CHANNING WAY
IDAHO FALLS, ID 834047510
2085258448
COMMUNITY CARE WEST SIDE LLC
765 S UTAH AVE
IDAHO FALLS, ID 834025093
2085852600
Source: CMS National Downloadable File, September 2026.