Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1437171998
Practice Locations (1)
SSM HEALTH CARE ST LOUIS
12303 DEPAUL DR, SSM HEALTH DEPAUL HOSPITAL PHYSICIAN BILLIN
BRIDGETON, MO 630442512
3143446000
Source: CMS National Downloadable File, September 2026.