Graduated: 1997
NPI: 1245246180
Practice Locations (2)
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
1102 W 42ND ST, WESTERN NEBRASKA VETERANS HOME
SCOTTSBLUFF, NE 693614711
4024711831
REGIONAL WEST PHYSICIANS CLINIC
3911 AVE B
SCOTTSBLUFF, NE 693614617
3086302100
Source: CMS National Downloadable File, September 2026.