Graduated: 2025
NPI: 1154006112
Practice Locations (2)
SHAWNEE MISSION MEDICAL CENTER INC
9100 W 74TH ST
MERRIAM, KS 662044004
SHAWNEE MISSION MEDICAL CENTER INC
9301 W 74TH ST, 100 AHMG HEMATOLOGY ONCOLOGY AT SHAWNEE
MERRIAM, KS 662042217
9136329100
Source: CMS National Downloadable File, September 2026.