Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1980
NPI: 1700980174
Practice Locations (1)
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
504 W BROADWAY AVE, MISSOURI OZARKS COMMUNITY HEALTH
AVA, MO 656081359
4176835739
Source: CMS National Downloadable File, September 2026.