Medical school: AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated: 2001
NPI: 1124007091
Practice Locations (1)
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC
619 19TH ST S
BIRMINGHAM, AL 352491900
2059344011
Source: CMS National Downloadable File, September 2026.