Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1990
NPI: 1649294554
Practice Locations (2)
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
1200 N ONE MILE RD, SOUTHEAST HEALTH CENTER OF STODDARD
DEXTER, MO 638411000
5736141900
PHELPS COUNTY REGIONAL MEDICAL CENTER
1000 W 10TH ST
ROLLA, MO 654012905
5734588899
Source: CMS National Downloadable File, September 2026.