Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1982
NPI: 1225005879
Practice Locations (2)
406 E CENTRAL
WICHITA, KS 672021058
406 E CENTRAL AVE
WICHITA, KS 672021058
31626507054
Source: CMS National Downloadable File, September 2026.