Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1982
NPI: 1063483824
Practice Locations (2)
NORTHWEST PHYSICIANS LLC
601 W MAPLE AVE
SPRINGDALE, AR 727645374
NORTHWEST PHYSICIANS LLC
609 W MAPLE AVE
SPRINGDALE, AR 727645335
4797578001
Source: CMS National Downloadable File, September 2026.