Graduated: 1999
NPI: 1962448860
Practice Locations (2)
SOUTH LINCOLN HOSPITAL DISTRICT
1105 CEDAR AVE
Kemmerer, WY 831013231
SOUTH LINCOLN HOSPITAL DISTRICT
711 ONYX ST
KEMMERER, WY 831013214
30787744013115
Source: CMS National Downloadable File, September 2026.