Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1988
Also: GENERAL SURGERY
NPI: 1710981444
Practice Locations (1)
SSM REGIONAL HEALTH SERVICES
2505 MISSION DR, SUITE 130
JEFFERSON CITY, MO 651099508
5736813585
Source: CMS National Downloadable File, September 2026.