Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 2004
NPI: 1306064092
Practice Locations (1)
CASS REGIONAL MEDICAL CENTER
2820 E ROCK HAVEN RD, 210 HARRISONVILLE MEDICAL CLINIC
HARRISONVILLE, MO 647014414
8163807470
Source: CMS National Downloadable File, September 2026.