Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1995
Also: EMERGENCY MEDICINE
NPI: 1144291089
Practice Locations (2)
BLUETAIL MEDICAL GROUP, LLC
13353 OLIVE BLVD
CHESTERFIELD, MO 630173108
6367782900
BLUETAIL MEDICAL GROUP, LLC
160 WESTMOUNT DR
FARMINGTON, MO 636402970
6367782900
Source: CMS National Downloadable File, September 2026.