Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1998
NPI: 1437148954
Practice Locations (2)
COFFEYVILLE REGIONAL MEDICAL CENTER, INC.
1400 W 4TH ST
COFFEYVILLE, KS 673373306
62025112001147
STILLWATER MEDICAL CENTER AUTHORITY
600 S ADAMS ST, THE CANCER CENTER EAST
STILLWATER, OK 740744370
4053721775
Source: CMS National Downloadable File, September 2026.