Medical school: UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated: 1994
NPI: 1265547640
Practice Locations (2)
101 NE DOUGLAS ST
LEES SUMMIT, MO 640632037
8165241616
268 S JEFFERSON AVE
MARSHALL, MO 653402135
6608862020
Source: CMS National Downloadable File, September 2026.