Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2002
Offers telehealth
NPI: 1083764229
Practice Locations (1)
CLOVE LLC
10051 E DYNAMITE BLVD, SUITE 110
SCOTTSDALE, AZ 852625239
4804737003
Source: CMS National Downloadable File, September 2026.