Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 2006
NPI: 1710131305
Practice Locations (1)
PHYSICIANS CLINIC INC
8901 W DODGE RD, 200B METHODIST PHYSICIANS CLINIC INDIAN HIL
OMAHA, NE 681143321
4023541700
Source: CMS National Downloadable File, September 2026.