Graduated: 1991
NPI: 1235121013
Practice Locations (2)
SSM HEALTH CARE GROUP
3635 VISTA AVE
SAINT LOUIS, MO 631102539
3142577400
CLINIC MEDICAL SERVICES COMPANY
18101 LORAIN AVE
CLEVELAND, OH 441115612
2164767000
Source: CMS National Downloadable File, September 2026.