Graduated: 2008
NPI: 1962666420
Practice Locations (5)
SANFORD MEDICAL CENTER FARGO
5225 23RD AVE S
FARGO, ND 581047927
7014172575
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
UT REGIONAL ONE PHYSICIANS INC
6215 HUMPHREYS BLVD, SUITE 201
MEMPHIS, TN 381202382
9018668085
UT REGIONAL ONE PHYSICIANS INC
877 JEFFERSON AVE
MEMPHIS, TN 381032807
9015457100
UT REGIONAL ONE PHYSICIANS INC
877 JEFFERSON AVE
MEMPHIS, TN 381032897
Source: CMS National Downloadable File, September 2026.