Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1991
NPI: 1144252099
Practice Locations (1)
HEALTH WEST INC
655 S 4TH, SUITE 600
PRESTON, ID 832631624
20823278621122
Source: CMS National Downloadable File, September 2026.