Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1989
NPI: 1528031770
Practice Locations (3)
NORTHEAST MISSOURI HEALTH COUNCIL INC
402 W JEFFERSON
KIRKSVILLE, MO 635013407
6606272229
NORTHEAST MISSOURI HEALTH COUNCIL INC
209 N MISSOURI ST
MACON, MO 635521745
6603955045
NORTHEAST MISSOURI HEALTH COUNCIL INC
52334 S BUS HWY 5
MILAN, MO 63556
6602651042
Source: CMS National Downloadable File, September 2026.