Graduated: 1989
NPI: 1891798328
Practice Locations (3)
FAIRWAY MEDICAL CENTER LLC
67252 INDUSTRY LN
COVINGTON, LA 704338704
9858099888
PONTCHARTRAIN DIAGNOSTIC IMAGING LLC
95 JUDGE TANNER BLVD
COVINGTON, LA 704337500
9858674033
DIAGNOSTIC IMAGING SERVICES
4241 VETERANS BLVD, SUITE 100
METAIRIE, LA 700065430
5048887921
Source: CMS National Downloadable File, September 2026.