Graduated: 2012
NPI: 1316292105
Practice Locations (2)
COFFEYVILLE REGIONAL MEDICAL CENTER, INC.
1400 W 4TH ST
COFFEYVILLE, KS 673373306
62025112001147
GREEN COUNTRY EMERGENCY PHYSICIANS GROUP OF TULSA, PLLC
1400 W 4TH ST, COFFEYVILLE MEDICAL CENTER EMERG DEPT
COFFEYVILLE, KS 673373306
6202511200
Source: CMS National Downloadable File, September 2026.