Graduated: 2006
NPI: 1508440967
Practice Locations (2)
GENESIS HEALTH SYSTEM
1227 E RUSHOLME ST, MERCYONE GENESIS
DAVENPORT, IA 528032459
5634211000
USACS OBSERVATION MEDICINE SERVICES OF OKLAHOMA, LLC
1923 S UTICA AVE
TULSA, OK 741046520
9187443131
Source: CMS National Downloadable File, September 2026.