Medical school: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated: 1993
NPI: 1669437695
Practice Locations (1)
SUSAN B ALLEN MEMORIAL HOSPITAL
700 W CENTRAL AVE, 105 SBA MEDICAL ORTHO
EL DORADO, KS 670422187
3163218757
Source: CMS National Downloadable File, September 2026.