Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1013947555
Practice Locations (2)
COUNTY OF ST LOUIS DIVISION OF FISCAL MANAGEMENT
6121 N HANLEY RD
SAINT LOUIS, MO 631342003
3146150560
SSM HEALTH CARE ST LOUIS
6420 CLAYTON RD
SAINT LOUIS, MO 631171811
3147688000
Source: CMS National Downloadable File, September 2026.