James Milani, D.O.
Medical Director 

• Board-certified family medicine physician
• Certified Medical Review Officer
• Certified wound-care specialist
• Hyperbaric medicine team training

Rick Garrels, M.D., M.S., M.B.A.
Occupational Medicine Physician

• Certified in occupational medicine by the American Board of Preventive Medicine
• Certified Independent Medical Examiner
• Certified Medical Review Officer
• Fellow, American College of Occupational and Environmental Medicine

Ted Smith, P.A.-C
Physician Assistant

• B.S. degree in Physician Assistant from Des Moines University
• Master's degree in Physician Assistant Studies from the University of Nebraska at Lincoln.

Luan Flowers, RN
Clinical Supervisor

Christina Garner, MA
Certified Medical Assistant

Lisa Nafziger
Accounts Manager

Deanne Parrott
Customer Service Associate