Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 2005
NPI: 1841491925
Practice Locations (1)
WASHINGTON REGIONAL MEDICAL SYSTEM
3336 N FUTRALL DR, NW ARKANSAS NEUROSCIENCE INSTITUTE
FAYETTEVILLE, AR 727034057
4794633000
Source: CMS National Downloadable File, September 2026.