Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1780750802
Practice Locations (3)
380 GATEWAY DR
SLIDELL, LA 704611125
380 GATEWAY DR
SLIDELL, LA 704615540
380 GATEWAY DR
SLIDELL, LA 704615591
9856906600
Source: CMS National Downloadable File, September 2026.