Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1999
NPI: 1689681454
Practice Locations (1)
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
3331 W DEYOUNG ST
MARION, IL 629595896
6189987600
Source: CMS National Downloadable File, September 2026.