Graduated: 2003
NPI: 1912101684
Practice Locations (6)
KINGMAN HEALTHCARE INC
3801 SANTA ROSA DR, SUITE 301
KINGMAN, AZ 864012311
9286818730
PHOEBE PUTNEY MEMORIAL HOSPITAL, INC.
417 W 3RD AVE
ALBANY, GA 317011943
2293121000
PHOEBE PUTNEY MEMORIAL HOSPITAL, INC.
425 W 3RD AVE, SUITE 550
ALBANY, GA 317011999
2293127800
OSF MULTI-SPECIALTY GROUP
8600 STATE ROUTE 91, SUITE 130
PEORIA, IL 616157829
3096835050
SANFORD HEALTH OF NORTHERN MINNESOTA
1233 34TH ST NW
BEMIDJI, MN 566015112
2183335522
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
Source: CMS National Downloadable File, September 2026.