Graduated: 2018
NPI: 1063110708
Practice Locations (2)
TALLAHASSEE ORTHOPEDIC CLINIC III PL
5901 E FOWLER AVE, SUITE 100
TEMPLE TERRACE, FL 336172305
8139789700
BRYAN PHYSICIAN NETWORK
2222 S 16TH ST TOWER B, 405 BRYAN MEDICAL CENTER TRAUMA OUTPATIENT
LINCOLN, NE 685023793
4024815860
Source: CMS National Downloadable File, September 2026.