Graduated: 1989
NPI: 1497728000
Practice Locations (2)
WASHINGTON REGIONAL MEDICAL SYSTEM
3561 JOHNSON MILL BLVD
FAYETTEVILLE, AR 727045065
WASHINGTON REGIONAL MEDICAL SYSTEM
813 FOUNDERS PARK DR E, SUITE 101
SPRINGDALE, AR 727626321
4794632333
Source: CMS National Downloadable File, September 2026.