Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1979
Also: INTERNAL MEDICINE
NPI: 1407843139
Practice Locations (2)
SSM REGIONAL HEALTH SERVICES
2505 MISSION DR
JEFFERSON CITY, MO 651099508
THE CURATORS OF THE UNIVERSITY OF MISSOURI
3501 A W TRUMAN BLVD
JEFFERSON CITY, MO 651095715
5736592001
Source: CMS National Downloadable File, September 2026.