Medical school: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1700113396
Practice Locations (2)
KISATCHIE EMERGENCY GROUP LLC
1020 W FERTITA BLVD
LEESVILLE, LA 714464645
3372395278
NORTHERN LOUISIANA EMERGENCY PHYSICIANS, LLP
401 E VAUGHN AVE, NORTHERN LA MED CTR
RUSTON, LA 712705950
3182542100
Source: CMS National Downloadable File, September 2026.