Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1467520346
Practice Locations (2)
SSM REGIONAL HEALTH SERVICES
2505 MISSION DR, SUITE 130
JEFFERSON CITY, MO 651099508
5736813585
LAKE REGIONAL HEALTH SYSTEM
755 COWAN DR
LEBANON, MO 655364629
4175322805
Source: CMS National Downloadable File, September 2026.