Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1984
Offers telehealth
NPI: 1770683013
Practice Locations (1)
LIFESPAN PHYSICIAN GROUP INC
900 WARREN AVE, SUITE 101
EAST PROVIDENCE, RI 029141430
4019195200
Source: CMS National Downloadable File, September 2026.