Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1988
NPI: 1477598142
Practice Locations (3)
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
201 S 14TH ST
HERRIN, IL 629483631
6189422171
MADONNA REHABILITATION HOSPITAL
5401 S ST
LINCOLN, NE 685062150
4024897102
REGIONAL WEST PHYSICIANS CLINIC
3911 AVE B
SCOTTSBLUFF, NE 693614617
3086302030
Source: CMS National Downloadable File, September 2026.