Graduated: 1989
NPI: 1275198723
Practice Locations (2)
COMMUNITY CARE NETWORK INC
801 MACARTHUR BLVD, SUITE 404
MUNSTER, IN 463212919
2198362995
MEMORIAL HOSPITAL OF SWEETWATER COUNTY
1180 COLLEGE DR
ROCK SPRINGS, WY 829015863
3073528125
Source: CMS National Downloadable File, September 2026.