Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2005
NPI: 1013933068
Practice Locations (3)
BJC OUTPATIENT IMAGING LLC
1785 CLARKSON RD
CHESTERFIELD, MO 630174966
6366811540
MIRACL LLC
1000 W 10TH ST, PHELPS HEALTH
ROLLA, MO 654012905
5733649000
WASHINGTON UNIVERSITY
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 631101016
31436272001
Source: CMS National Downloadable File, September 2026.