Graduated: 2007
NPI: 1639378987
Practice Locations (4)
LAKE REGIONAL HEALTH SYSTEM
226 E US HWY 54
CAMDENTON, MO 650206819
5738732521
MERCY EAST AMBULATORY SERVICES LLC
1722 CLARKSON RD
CHESTERFIELD, MO 630174976
6362062665
LAKE REGIONAL HEALTH SYSTEM
302 E 4TH ST
ELDON, MO 650261808
5733929400
ACTIVE LIFE HEALTH OF COLUMBIA LLC
2000 CTR POINT RD, SUITE 2360
COLUMBIA, SC 292105826
8032335500
Source: CMS National Downloadable File, September 2026.