Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 1984
NPI: 1972668531
Practice Locations (1)
IDAHO BEHAVIORAL HEALTH SERVICES LLC
2280 E 25TH ST, EASTERN IDAHO REGIONAL MEDICAL CENTER
IDAHO FALLS, ID 834047542
2082272260
Source: CMS National Downloadable File, September 2026.