Graduated: 2016
NPI: 1295184745
Practice Locations (3)
PREMIER ANESTHESIA OF ARKANSAS PROFESSIONAL CORPORATION
3215 N N HILLS BLVD
FAYETTEVILLE, AR 727034424
4794631000
KETAMINE AND IV THERAPY CLINIC OF NWA LLC
101 GRANT PL, SUITE C
LOWELL, AR 727457103
4793182382
KETAMINE AND IV THERAPY CLINIC OF NWA LLC
1631 NE DOUGLAS ST, ASCEND WELLNESS
LEES SUMMIT, MO 640864701
8163812050
Source: CMS National Downloadable File, September 2026.