Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1997
NPI: 1255381497
Practice Locations (1)
MIDWEST PHYSICIAN SERVICES LLC
9301 W 74TH ST, 325 WOMENS CARE
SHAWNEE MISSION, KS 662042217
9133844990
Source: CMS National Downloadable File, September 2026.