Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 2003
NPI: 1235345653
Practice Locations (2)
1612 EGLIN ST, SUITE 100
RAPID CITY, SD 577016111
525 SAINT JOSEPH ST, SUITE 2
RAPID CITY, SD 577013058
6053487045
Source: CMS National Downloadable File, September 2026.