Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1306818182
Practice Locations (2)
FAIRVIEW HEIGHTS MEDICAL GROUP SC
1 MEMORIAL DR
ALTON, IL 620026722
6184637240
FAIRVIEW HEIGHTS MEDICAL GROUP SC
3009 N BALLAS RD, SUITE 383C
SAINT LOUIS, MO 631312324
3143051447
Source: CMS National Downloadable File, September 2026.