Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1982
NPI: 1457468498
Practice Locations (1)
NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC
2900 MEDICAL CTR PKWY, SUITE 300
BENTONVILLE, AR 727123214
4795532250
Source: CMS National Downloadable File, September 2026.