Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1987
NPI: 1316946932
Practice Locations (1)
CLARK REGIONAL PHYSICIAN PRACTICES LLC
68 E ELKINS ST
STANTON, KY 403802311
6066632511
Source: CMS National Downloadable File, September 2026.