Graduated: 1997
NPI: 1518904192
Practice Locations (2)
THE CURATORS OF THE UNIVERSITY OF MISSOURI
205 PORTLAND ST
COLUMBIA, MO 652016521
5738846052
THE CURATORS OF THE UNIVERSITY OF MISSOURI
404 N KEENE ST
COLUMBIA, MO 652016626
5738759000
Source: CMS National Downloadable File, September 2026.