Graduated: 2019
NPI: 1013564996
Practice Locations (2)
PHYSICIANS CLINIC OF IOWA PC
202 10TH ST SE
CEDAR RAPIDS, IA 524032414
3192473010
CORRIDOR KETAMINE LLC
1900 JAMES ST, SUITE 1
CORALVILLE, IA 522411895
3193378329
Source: CMS National Downloadable File, September 2026.