Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2021
NPI: 1972184562
Practice Locations (1)
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.
1111 WINDOVER RD
JONESBORO, AR 724016159
8709355432
Source: CMS National Downloadable File, September 2026.