Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2016
NPI: 1962864694
Practice Locations (1)
WASHINGTON REGIONAL MEDICAL SYSTEM
3215 N NORTHHILLS BLVD, WASHINGTON REGIONAL HOSPITAL MEDICINE GROUP
FAYETTEVILLE, AR 727034424
4794637102
Source: CMS National Downloadable File, September 2026.