Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1994
NPI: 1427028638
Practice Locations (2)
MAINLINE HEALTH SYSTEMS INC
579 E BEOUFF ST
EUDORA, AR 716403090
8703552512
MAINLINE HEALTH SYSTEMS INC
535 JORDAN DR
MONTICELLO, AR 716555714
8703676246
Source: CMS National Downloadable File, September 2026.