Graduated: 2000
NPI: 1114147915
Practice Locations (2)
STATE UNIVERSITY OF IOWA
200 HAWKINS DR
IOWA CITY, IA 522421009
3193561616
STATE UNIVERSITY OF IOWA
3056 RIVER CROSS CT
RIVERSIDE, IA 523274724
3194678355
Source: CMS National Downloadable File, September 2026.