Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 1986
NPI: 1265408215
Practice Locations (1)
MERITAS HEALTH CORPORATION
902 WOLLARD BLVD
RICHMOND, MO 640852229
8167722201
Source: CMS National Downloadable File, September 2026.