Medical school: UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated: 2004
NPI: 1023198959
Practice Locations (2)
1133 N DESLOGE DR
DESLOGE, MO 636012936
5735180001
806 W COLLEGE AVE
FREDERICKTOWN, MO 636451308
5737833573
Source: CMS National Downloadable File, September 2026.