Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1996
Also: PHYSICAL MEDICINE AND REHABILITATION
NPI: 1164479531
Practice Locations (1)
THE CURATORS OF THE UNIVERSITY OF MISSOURI
315 BUSINESS LOOP 70
COLUMBIA, MO 652033248
5738846642
Source: CMS National Downloadable File, September 2026.