Graduated: 1997
NPI: 1285695569
Practice Locations (2)
BANNER HEALTH PHYSICIANS WEST LLC
2601 N SPRUCE ST, BANNER HEALTH CLINIC
OGALLALA, NE 691532465
3082843645
OGALLALA COMMUNITY HOSPITAL
2601 N SPRUCE ST, SUITE A
OGALLALA, NE 691532465
3082844011
Source: CMS National Downloadable File, September 2026.