Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2021
NPI: 1639758006
Practice Locations (1)
OZARKS MEDICAL CENTER
1210 N KENTUCKY AVE, OZARKS HEALTHCARE DERMATOLOGY
WEST PLAINS, MO 657752030
4172576734
Source: CMS National Downloadable File, September 2026.