Graduated: 2019
NPI: 1851955520
Practice Locations (2)
ORTHOPAEDIC CLINIC OF MONROE
1501 LOUISVILLE AVE
MONROE, LA 712016025
31832384514310
SPINE INSTITUTE OF LOUISIANA LLC
1500 LINE AVE, SUITE 200
SHREVEPORT, LA 711014643
3186295560
Source: CMS National Downloadable File, September 2026.