Medical school: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1831171560
Practice Locations (2)
GREAT MINES HEALTH CENTER
1 SOUTHTOWNE DR
POTOSI, MO 636645729
5734389355
GREAT MINES HEALTH CENTER
PO BOX, SUITE 761
POTOSI, MO 636640761
Source: CMS National Downloadable File, September 2026.