Graduated: 2001
NPI: 1891805115
Practice Locations (3)
JENNIE EDMUNDSON MEMORIAL HOSPITAL
933 E PIERCE ST
COUNCIL BLUFFS, IA 515034626
7123966111
JENNIE EDMUNDSON MEMORIAL HOSPITAL
933 E PIERCE ST, 2C
COUNCIL BLUFFS, IA 515034626
PGFHGS HOLDINGS LLC
3506 S 201ST CIR
OMAHA, NE 681305094
4026814030
Source: CMS National Downloadable File, September 2026.