Graduated: 2022
NPI: 1902513336
Practice Locations (2)
GLENROCK HOSPITAL DISTRICT
925 W BIRCH ST, SUITE 786
GLENROCK, WY 826375079
3074369206
GLENROCK HOSPITAL DISTRICT
PO BOX, SUITE 786
GLENROCK, WY 826370786
Source: CMS National Downloadable File, September 2026.