Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1988
NPI: 1447230131
Practice Locations (2)
SSM REGIONAL HEALTH SERVICES
2505 MISSION DR, SUITE 310
JEFFERSON CITY, MO 651099508
5736813751
THE CURATORS OF THE UNIVERSITY OF MISSOURI
3501 A W TRUMAN BLVD
JEFFERSON CITY, MO 651095715
5736592001
Source: CMS National Downloadable File, September 2026.