Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 1994
NPI: 1629097035
Practice Locations (2)
PHELPS COUNTY REGIONAL MEDICAL CENTER
1000 W 10TH ST
ROLLA, MO 654012905
5734588899
PCRMC MEDICAL GROUP INC
600 BLUES LAKE PKWY
ROLLA, MO 654018022
5733648822
Source: CMS National Downloadable File, September 2026.