Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1997
NPI: 1326087404
Practice Locations (2)
SANFORD BISMARCK
3318 N 14TH ST
BISMARCK, ND 585031614
7013238300
SANFORD BISMARCK
1700 11TH ST W
WILLISTON, ND 588014500
7017747687
Source: CMS National Downloadable File, September 2026.