Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 1997
NPI: 1063409993
Practice Locations (1)
WASHINGTON REGIONAL MEDICAL SYSTEM
3336 N FUTRALL DR, NW ARKANSAS NEUROSCIENCE INSTITUTE
FAYETTEVILLE, AR 727034057
4794633000
Source: CMS National Downloadable File, September 2026.