Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2002
NPI: 1376595959
Practice Locations (2)
UKHS GREAT BEND LLC
3515 BROADWAY AVE
GREAT BEND, KS 675303633
6207866515
200 E 8TH ST
LARNED, KS 675502602
6202856041
Source: CMS National Downloadable File, September 2026.