Graduated: 2010
NPI: 1629325774
Practice Locations (2)
HOUSTON COUNTY HEALTHCARE AUTHORITY
1108 ROSS CLARK CIR
DOTHAN, AL 363013022
3347938087
BANNER-UNIVERSITY MEDICAL GROUP
1625 N CAMPBELL AVE
TUCSON, AZ 857194330
5206940111
Source: CMS National Downloadable File, September 2026.