Graduated: 2025
NPI: 1972496834
Practice Locations (2)
COMMUNITY CARE WEST SIDE LLC
765 S UTAH AVE
IDAHO FALLS, ID 834025093
2085852600
MOUNTAIN VIEW HOSPITAL LLC
711 RIGBY LAKE DR, SUITE 1500
RIGBY, ID 834425374
2087455021
Source: CMS National Downloadable File, September 2026.