Medical school: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated: 1980
NPI: 1588612907
Practice Locations (2)
UNIVERSITY OF TENNESSEE
1924 ALCOA HWY
KNOXVILLE, TN 379201511
8653059350
UNIVERSITY OF TENNESSEE
1924 ALCOA HWY, U67
KNOXVILLE, TN 379201511
8653059352
Source: CMS National Downloadable File, September 2026.