Graduated: 2002
NPI: 1417289463
Practice Locations (2)
PCRMC MEDICAL GROUP INC
1000 W 10TH ST
ROLLA, MO 654012905
5733649000
PHELPS COUNTY REGIONAL MEDICAL CENTER
1000 W 10TH ST
ROLLA, MO 654012905
5734588899
Source: CMS National Downloadable File, September 2026.