Medical school: AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated: 2012
NPI: 1477808467
Practice Locations (2)
NORTHEAST MISSOURI HEALTH COUNCIL INC
1506 CROWN DR
KIRKSVILLE, MO 635012553
6606274493
NORTHEAST MISSOURI HEALTH COUNCIL INC
118 E GRAND AVE, MEMPHIS COM HLTH CNTR
MEMPHIS, MO 635551404
6606275757
Source: CMS National Downloadable File, September 2026.