Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2004
NPI: 1326005190
Practice Locations (2)
LAKE REGIONAL HEALTH SYSTEM
755 COWAN DR
LEBANON, MO 655364629
4175322805
LAKE REGIONAL HEALTH SYSTEM
54 HOSPITAL DR
OSAGE BEACH, MO 650653050
Source: CMS National Downloadable File, September 2026.