Graduated: 2021
NPI: 1407434376
Practice Locations (2)
SSM HEALTH CARE GROUP
1201 S GRAND BLVD
SAINT LOUIS, MO 631041016
3146172000
LAKE SPRING PHYSICIAN SERVICES, LLC
1900 ELECTRIC RD
SALEM, VA 241537474
5407764000
Source: CMS National Downloadable File, September 2026.