Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1998
NPI: 1962421800
Practice Locations (2)
ST LUKES CLINIC LLC
746 N COLLEGE RD
TWIN FALLS, ID 833013486
ST LUKES CLINIC LLC
801 POLE LINE RD W
TWIN FALLS, ID 833015810
Source: CMS National Downloadable File, September 2026.