Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1417930041
Practice Locations (2)
MERCY CLINIC FORT SMITH COMMUNITIES
7001 ROGERS AVE, FL 6
FORT SMITH, AR 729034073
4795733101
INTEGRIS AMBULATORY CARE CORPORATION
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 731124418
4059493141
Source: CMS National Downloadable File, September 2026.