Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1356396790
Practice Locations (3)
623 S 21ST ST
FORT SMITH, AR 729013914
623 S 21ST ST, SOUTHS
FORT SMITH, AR 729013914
4794411500
625 S 21ST ST
FORT SMITH, AR 729013914
Source: CMS National Downloadable File, September 2026.