Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1993
NPI: 1154304301
Practice Locations (1)
CHI HEALTH CLINIC SPECIALTY LLC
10 E 31ST ST, CHI HEALTH GOOD SAMARITAN
KEARNEY, NE 688472908
3088657100
Source: CMS National Downloadable File, September 2026.