Graduated: 2011
NPI: 1932487428
Practice Locations (4)
MIRACL LLC
1000 W 10TH ST, PHELPS HEALTH
ROLLA, MO 654012905
5733649000
WASHINGTON UNIVERSITY
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 631101016
31436272001
UNIVERSITY RADIOLOGY GROUP LLC
629 OAK VALLEY DR
SAINT LOUIS, MO 631314733
7323900040
UNIVERSITY RADIOLOGY GROUP LLC
483 CRANBURY RD
EAST BRUNSWICK, NJ 088163610
73239000402022
Source: CMS National Downloadable File, September 2026.