Graduated: 2013
NPI: 1326460270
Practice Locations (2)
FORT PAYNE ANESTHESIA SERVICES LLC
200 MEDICAL CTR DR SW
FORT PAYNE, AL 359683458
2568453150
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
Source: CMS National Downloadable File, September 2026.