Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1999
NPI: 1043218084
Practice Locations (1)
REGIONAL PRIMARY CARE INC.
150 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 637034911
5733326000
Source: CMS National Downloadable File, September 2026.