Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1992
NPI: 1083640494
Practice Locations (2)
5652 MEADOW CT N
PARKVILLE, MO 641526115
8168127248
NORTHWEST HEALTH SERVICES INC
3608 FARAON ST
SAINT JOSEPH, MO 645063044
8162718265
Source: CMS National Downloadable File, September 2026.