Graduated: 2021
NPI: 1164192290
Practice Locations (2)
JEFFERSON COUNTY HOSPITAL
2000 S MAIN ST
FAIRFIELD, IA 525569572
6414724111
FOOT AND ANKLE CLINICS OF SOUTHERN IOWA PC
301 W 2ND ST, SUITE 2
OTTUMWA, IA 525012576
6416848448
Source: CMS National Downloadable File, September 2026.