Graduated: 2005
NPI: 1255508826
Practice Locations (4)
1100 N SAINT FRANCIS AVE, SUITE 400
WICHITA, KS 672142884
929 N SAINT FRANCIS AVE
WICHITA, KS 672143821
1775 THOMPSON RD
COOS BAY, OR 974202125
1775 THOMPSON RD
COOS BAY, OR 974202198
Source: CMS National Downloadable File, September 2026.