Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1639129109
Practice Locations (2)
FAMILY CARE HEALTH CENTERS
401 HOLLY HILLS AVE
SAINT LOUIS, MO 631112410
31448116151306
FAMILY CARE HEALTH CENTERS
401 HOLLY HILLS AVE
ST LOUIS, MO 631112410
Source: CMS National Downloadable File, September 2026.