Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2010
NPI: 1841501806
Practice Locations (1)
SSM HEALTH CARE ST LOUIS
12303 DEPAUL DR, SSM HEALTH DEPAUL HOSPITAL PHYSICIAN BILLIN
BRIDGETON, MO 630442512
3143446000
Source: CMS National Downloadable File, September 2026.