Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1992
NPI: 1578654604
Practice Locations (2)
FAMILY PODIATRY PA
209 N 6TH PO BOX, SUITE 372
INDEPENDENCE, KS 673013100
FAMILY PODIATRY PA
209 N 6TH ST
INDEPENDENCE, KS 673013100
6203311840
Source: CMS National Downloadable File, September 2026.