Medical school: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1376522516
Practice Locations (2)
114 REPRESENTATIVE ROW, SUITE B
LAFAYETTE, LA 705083878
3374126555
325 KALISTE SALOOM RD, SUITE 100
LAFAYETTE, LA 705083877
3372341499
Source: CMS National Downloadable File, September 2026.