Medical school: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated: 2002
NPI: 1245382175
Practice Locations (1)
FOUNDATION HEALTH SERVICES, PLLC
5583 BOBBY HICKS HWY, SUITE 205
JOHNSON CITY, TN 376153283
4237072509
Source: CMS National Downloadable File, September 2026.