Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2000
Also: FAMILY PRACTICE
NPI: 1104894047
Practice Locations (2)
LAKE REGIONAL HEALTH SYSTEM
54 HOSPITAL DR
OSAGE BEACH, MO 650653050
MEMORIAL HOSPITAL OF SWEETWATER COUNTY
1180 COLLEGE DR
ROCK SPRINGS, WY 829015863
3073528125
Source: CMS National Downloadable File, September 2026.