Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 1968
Offers telehealth
NPI: 1992705388
Practice Locations (2)
1630 E WHITE MOUNTAIN BLVD
PINETOP, AZ 859357039
5207950309
5240 E KNIGHT DR, SUITE 120
TUCSON, AZ 857122122
5207950309
Source: CMS National Downloadable File, September 2026.