Medical school: LOGAN COLLEGE OF CHIROPRACTIC
Graduated: 2011
NPI: 1174822555
Practice Locations (2)
4077 S GRAND BLVD
SAINT LOUIS, MO 631183418
4077 S GRAND BLVD, GRAND CHIROPRACTIC
SAINT LOUIS, MO 631183418
3146643200
Source: CMS National Downloadable File, September 2026.