Graduated: 1985
NPI: 1376659193
Practice Locations (2)
TMC MEDICAL NETWORK
5301 E GRANT RD
TUCSON, AZ 857122805
5203244230
WELLMONT MEDICAL ASSOCIATES INC
1 MEDICAL PARK BLVD
BRISTOL, TN 376207430
4238441121
Source: CMS National Downloadable File, September 2026.