Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2004
NPI: 1942240833
Practice Locations (3)
BLUETAIL MEDICAL GROUP, LLC
13353 OLIVE BLVD
CHESTERFIELD, MO 630173108
6367782900
BLUETAIL MEDICAL GROUP, LLC
2807 W BROADWAY, SUITE 107
COLUMBIA, MO 652031317
5734464000
BLUETAIL MEDICAL GROUP, LLC
160 WESTMOUNT DR
FARMINGTON, MO 636402970
6367782900
Source: CMS National Downloadable File, September 2026.