Medical school: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1154371946
Practice Locations (1)
WASHINGTON REGIONAL MEDICAL SYSTEM
3215 N NORTHHILLS BLVD, WASHINGTON REGIONAL HOSPITAL MEDICINE GROUP
FAYETTEVILLE, AR 727034424
4794637102
Source: CMS National Downloadable File, September 2026.