Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2001
NPI: 1114949179
Practice Locations (1)
TANGLEWOOD FAMILY MEDICAL CENTER PA
606 N MULBERRY RD
DERBY, KS 670373532
3167883787
Source: CMS National Downloadable File, September 2026.