Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1984
NPI: 1285643908
Practice Locations (3)
SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION
1521 DOCTORS DR
BOSSIER CITY, LA 711113321
3187475200
SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION
9308 MANSFIELD RD, SUITE 100
SHREVEPORT, LA 711183134
3186876266
SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION
9308 MANSFIELD RD, SUITE 100
SHREVEPORT, LA 711183177
Source: CMS National Downloadable File, September 2026.