Graduated: 2012
NPI: 1962765222
Practice Locations (2)
MINIDOKA MEMORIAL HOSPITAL
260 E 5TH ST N
BURLEY, ID 833183453
2086789760
CATHOLIC HEALTH INITIATIVES COLORADO
3584 W 9000, SUITE 405
WEST JORDAN, UT 840885712
8015683480
Source: CMS National Downloadable File, September 2026.