Medical school: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated: 1969
NPI: 1366538167
Practice Locations (3)
101 E GREENWOOD AVE, PO BOX 699
JOHNSON, KS 678550699
101 E GREENWOOD AVE N
JOHNSON, KS 678550699
6204926230
101 E GREENWOOD AVE PO BOX, SUITE 699
JOHNSON, KS 678550699
Source: CMS National Downloadable File, September 2026.