Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1995
NPI: 1598758096
Practice Locations (1)
OMNI EMERGENCY MEDICINE LLC
201 NW R D MIZE RD
BLUE SPRINGS, MO 640142513
8162285900
Source: CMS National Downloadable File, September 2026.