Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 1990
Offers telehealth
NPI: 1962487793
Practice Locations (1)
MCPC-17 LLC
293 OLMSTED BLVD, SUITE 1
PINEHURST, NC 283749182
9102550033
Source: CMS National Downloadable File, September 2026.