Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2012
NPI: 1992060057
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.