Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1994
NPI: 1588684401
Practice Locations (2)
PHELPS COUNTY REGIONAL MEDICAL CENTER
1000 W 10TH ST
ROLLA, MO 654012905
5734588899
PCRMC MEDICAL GROUP INC
1050 W 10TH ST
ROLLA, MO 654012905
5733649000
Source: CMS National Downloadable File, September 2026.