Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1999
NPI: 1366441131
Practice Locations (2)
1001 S DOUGLAS HWY B5
GILLETTE, WY 827164984
501 S BURMA AVE
GILLETTE, WY 827163426
3076881000
Source: CMS National Downloadable File, September 2026.