Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1973
NPI: 1740267830
Practice Locations (1)
THE CURATORS OF THE UNIVERSITY OF MISSOURI
1020 HITT ST, DERMATOLOGY CLINIC UNIVERSITY OF MO
COLUMBIA, MO 652120001
5738824800
Source: CMS National Downloadable File, September 2026.