Graduated: 2024
NPI: 1861225666
Practice Locations (3)
STATE OF ALASKA DEPARTMENT OF ADMINISTRATION
3700 PIPER ST
ANCHORAGE, AK 995084665
9072697100
MINUTECLINIC DIAGNOSTIC OF KANSAS PA
14400 CLAYTON RD
BALLWIN, MO 630112713
8663892727
THEORIA MEDICAL
105 BERNARD DR
BELTON, MO 640126181
8163488815
Source: CMS National Downloadable File, September 2026.