Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1538182449
Practice Locations (2)
HOUSTON COUNTY HEALTHCARE AUTHORITY
102 DOCTORS DR
DOTHAN, AL 363012911
3347936573
SHAWNEE MISSION MEDICAL CENTER INC
9100 W 74TH ST, AHMG CARDIOLOGY AT SHAWNEE MISSION
MERRIAM, KS 662044004
9136762000
Source: CMS National Downloadable File, September 2026.