Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2001
NPI: 1942231667
Practice Locations (2)
WOUND INTEGRITY ARKANSAS, PA
7306 ROGERS AVE
FORT SMITH, AR 729034164
4793142804
PREMIER PROVIDER HEALTH PA
9301 N CENTRAL EXPY, SUITE 340
DALLAS, TX 752310804
2144662828
Source: CMS National Downloadable File, September 2026.