Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1976
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1770536195
Practice Locations (2)
THE CURATORS OF THE UNIVERSITY OF MISSOURI
1 HOSPITAL DR
COLUMBIA, MO 652120001
5738822100
THE CURATORS OF THE UNIVERSITY OF MISSOURI
525 N KEENE ST, SUITE 101
COLUMBIA, MO 652016967
5738827350
Source: CMS National Downloadable File, September 2026.