Graduated: 2020
NPI: 1235737982
Practice Locations (2)
PCRMC MEDICAL GROUP INC
1000 GW LN
WAYNESVILLE, MO 655832339
5738424116
PHELPS COUNTY REGIONAL MEDICAL CENTER
1000 GW LN
WAYNESVILLE, MO 655832339
5737742715
Source: CMS National Downloadable File, September 2026.