Graduated: 2022
NPI: 1487435210
Practice Locations (2)
THEORIA MEDICAL
16255 CHESTERFIELD PKWY W
CHESTERFIELD, MO 630174824
2486601220
PANDC HEALTHCARE LLC
19600 E 39TH ST S
INDEPENDENCE, MO 640572301
9132229779
Source: CMS National Downloadable File, September 2026.