Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1629298500
Practice Locations (2)
1501 S WALDRON RD
FORT SMITH, AR 729032568
4792423310
9616 ROGERS AVE
FORT SMITH, AR 729035769
4795512127
Source: CMS National Downloadable File, September 2026.