Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1984
Also: THORACIC SURGERY
NPI: 1518978980
Practice Locations (1)
BANNER HEALTH PHYSICIANS WEST LLC
201 14TH ST
WHEATLAND, WY 822013201
3073223636
Source: CMS National Downloadable File, September 2026.