Medical school: UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated: 2002
NPI: 1851359004
Practice Locations (2)
2107 S SENECA ST
Wichita, KS 672134222
2107 S SENECA ST
WICHITA, KS 672134222
3162647300
Source: CMS National Downloadable File, September 2026.