Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1996
NPI: 1063468007
Practice Locations (1)
WASHINGTON REGIONAL MEDICAL SYSTEM
3215 N NORTHHILLS BLVD, SUITE B
FAYETTEVILLE, AR 727034424
4794635500
Source: CMS National Downloadable File, September 2026.