Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1508841966
Practice Locations (3)
PO BOX
FRANKLIN, TN 370689022
PO BOX, SUITE 2029
CONCRETE, WA 982372029
910 W 5TH AVE, SUITE 900
SPOKANE, WA 992042948
Source: CMS National Downloadable File, September 2026.