Graduated: 1988
NPI: 1396754719
Practice Locations (3)
DEACONESS MEMORIAL MEDICAL CENTER INC
5066 N 900, COUTRY HEALTH CENTER
MONTGOMERY, IN 475585790
8124863396
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM, NC 271570001
3367162734
WAKE FOREST BAPTIST IMAGING LLC
947 CERRO DE LA PAZ
SANTA FE, NM 875012165
6152612306
Source: CMS National Downloadable File, September 2026.