Graduated: 2011
NPI: 1538456025
Practice Locations (2)
SHAWNEE MISSION MEDICAL CENTER INC
9119 W 74TH ST, 350 AHMG CARDIOLOGY VASCULAR AND CARDIOT
MERRIAM, KS 662042268
9136329400
ADVENTHEALTH RANSOM MEMORIAL INC
1301 S MAIN ST, ADVENTHEALTH MEDICAL GROUP
OTTAWA, KS 660673537
7852293367
Source: CMS National Downloadable File, September 2026.