Graduated: 1996
NPI: 1013969583
Practice Locations (2)
SUMMIT MEMORIAL MEDICAL GROUP LLC
6500 E 2ND ST
CASPER, WY 826094338
3075775100
MEMORIAL HOSPITAL OF CONVERSE COUNTY
700 E CTR ST
DOUGLAS, WY 826332446
3073587300
Source: CMS National Downloadable File, September 2026.