Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1988
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1639270085
Practice Locations (1)
BOLIVAR PHYSICIAN PRACTICES LLC
810 E SUNFLOWER RD, SUITE 100 A
CLEVELAND, MS 387322828
6628433606
Source: CMS National Downloadable File, September 2026.