Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1975
NPI: 1174577431
Practice Locations (1)
PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC
203 NW R D MIZE RD, 200 KANSAS CITY CARDIOLOGY
BLUE SPRINGS, MO 640142546
8162201117
Source: CMS National Downloadable File, September 2026.