Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1988
NPI: 1225037252
Practice Locations (1)
PHYSICIAN GROUPS LC
1520 WENTZVILLE PKWY
WENTZVILLE, MO 633853408
6364974000
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1988
NPI: 1225037252
PHYSICIAN GROUPS LC
1520 WENTZVILLE PKWY
WENTZVILLE, MO 633853408
6364974000
Source: CMS National Downloadable File, September 2026.