Graduated: 2010
NPI: 1902127376
Practice Locations (2)
SUMMIT MEDICAL GROUP LLC
214 E 23RD ST
CHEYENNE, WY 820013748
3076342273
CAMPBELL COUNTY HOSPITAL DISTRICT
501 S BURMA AVE
GILLETTE, WY 827163426
3076881000
Source: CMS National Downloadable File, September 2026.