Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1991
NPI: 1427080894
Practice Locations (1)
WASHINGTON REGIONAL MEDICAL SYSTEM
3336 N FUTRALL DR, NW ARKANSAS NEUROSCIENCE INSTITUTE
FAYETTEVILLE, AR 727034057
4794633000
Source: CMS National Downloadable File, September 2026.