Graduated: 2004
NPI: 1275734022
Practice Locations (3)
6352 N COSBY AVE
KANSAS CITY, MO 641512344
8168925322
SANFORD MEDICAL CENTER FARGO
4656 40TH AVE S
FARGO, ND 581044397
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.