Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1988
NPI: 1144328022
Practice Locations (2)
7804 CHICAGO PLAZA
OMAHA, NE 681143652
7804 CHICAGO PLZ
OMAHA, NE 681143652
4029915300
Source: CMS National Downloadable File, September 2026.