Medical school: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1326115213
Practice Locations (4)
NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC
3000 MEDICAL CTR PKWY
BENTONVILLE, AR 727123217
4797578099
NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC
101 SUN MEADOW DR
CENTERTON, AR 727199610
4797950426
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25821 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25825 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
Source: CMS National Downloadable File, September 2026.