Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 2004
NPI: 1083704704
Practice Locations (2)
DOUGLAS COUNTY NEBRASKA
4102 WOOLWORTH AVE
OMAHA, NE 681021899
4024447000
DOUGLAS COUNTY NEBRASKA
4102 WOOLWORTH AVE
OMAHA, NE 681051899
4024447000
Source: CMS National Downloadable File, September 2026.