Thomman Kuruvilla, DPM

As usual, Dr. K was friendly, and professional. Thanks again for everything, Dr. K! Valerie Goetze

Best doctor ever! Calm demeanor, explained everything and was encouraging for my recovery.

Excellent Doctor.

Very pleasant Very thorough Always a good experience!

Enjoyed working with him on healing my ankle.

Dr. K is very professional & explains things in a way I can understand.

I AM TOTLLY IMPRESSED WITH THE DOCTOR AND HIS SOLUTIONS TO MY ISSUES! HIS BEDSIDE MANNER EVEN LATE IN THE DAY IS EXCEPTIONL AND I WISH I COULD SAY THIS ABOUT MY OTHER 6 DOCTORS!

Takes time to explain outcome.

He was kind, knowledgeable, and he listened.. It was a wonderful experience

Great man Great doctor he really knows his job

Dr K is so thorough and always so kind and patient with me in answering all my questions. He made me feel at ease before my surgery and at all my follow ups. I hope nobody I know breaks a foot or ankle, but if they do, I’ll be recommending Dr K!

My favorite doctor.

Excellent Doctor

He is a great doctor. I understood what he told me and am jappy

Only had 3 contacts with Dr Kuruvilla, but both of them were excellent. One was doe surgery. He is very informative and thoughtful. Thank you!

Best doctor ever!!!!

So glad we found Dr. K! Took great care of my son after a nasty wrestling injury to his ankle.

Very friendly explained my condition and advised of the out comes. I left feeling very confident that I would be well taken care of. Thank you

Dr. K took time to explain what was going on with the dressing and there was no rush to get you in and out

The best in the business, never stops looking out for your best quality of life!

Very knowledgeable and professional doctor, I had a non-union fracture and Dr. Kuruvilla helped me without a surgery. For any special device for your recovery you might need to follow up twice with his stuff, but other than that highly recommended.

Dr. Kuruvilla is a one of a kind doctor. He expressed great care and compassion. He takes the time to explain in detail procedure, recovery and any questions that came up. He is super friendly and I'm happy knowing he is providing the best care I can receive. My surgery and healing are doing great. (Right Achilles rupture repair). Thank you Doc!

Just met Dr. Uruvilla.

Excellent surgeon, caring physician, knowledgeable and professional.

Very efficient office , Dr K and his staff provide excellent care !!! I want to break something else.

Sweet loving, welcoming energy!

amazing dr chairside manners are outstsnding

Dr. Kuruvilla was amazing!!! He was very thorough and explained everything to me in a way I could understand!!

Very professional informative and takes time to explain everything to you highly recommend

He is a great doctor and very pleasant to be with for my visits

Personable,willing to answer questions. He goes the extra mile to provide answers to my questions. I feel at ease and confident accepting his diagnosis.

Informative, knowledgeable, and makes you feel like a person, not just a number.

Doctor k ,has just GOT IT ! All I can say is This world needs more Doctors like Him .

Kind, professional and informative. I walked away with relief

Good visit - thorough and informative

I think he's 1of the best happy holidays to everyone

Great doctor!

Very courteous polite and knowledgeable. He explained exactly what was happening in my ankle and how we would proceed further with an MRI which eased my mind and he spoke to my son and I with utmost courtesy. He set my mind at ease and I felt very comfortable in his care.

Extremely caring , knowledgeable as well his staff is excellent.

Dr K takes the time to listen and explain in a way you can understand. Excellent podiatrist.

I’ve been seeing Dr K since 2019. He is an amazing Dr and he knows his job. I would recommend him.

Dr. Kuruvilla is an excellent Orthopedic doctor. He is very knowledgeable and explain all questions asked. Wish all doctors are like him. Exemplary doctor.

Very professional and knowledgeable. Has wonderful patient interaction.

Great Doctor, knows his trade, very good bedside manor. Would recommend Dr, Kuruvilla to anyone,

Explained my diagnosis in detail which I appreciate!

Explains everything well, has a wonderful demeanor as well. Only issue is not following up with comments left on website.

Great Dr. Listens and is not aggressive with treatment. I was happy with the fact I could get my injections the same day for relief. Hoping I don’t need to go back but if I do need to , I know I’ll be in good hands. X ray staff was great and front desk! I’m glad I found the practice!

Awesome bedside manner.

Dr. K is amazing! He is an amazing Dr. girl at front desk has bad customer service lol

Excellent Dr the whole family has been going to him for years and we have the best experience

An outstanding physician in every way. Quick, thorough diagnosis and treatment plans are peovided with excellent bed side manners. Each visit with Dr K has been informative and memorable.

Such an awsome guy!

This is my first visit, and I was very impressed with the wait time, staff, and with Dr. K. I never felt rushed and knew I was in great hands.

Kind compassionate and skilled

Doctor K , has just ( GOT IT!! ) . This world should have more like him .

Great doctor with a good bedside manor. Very knowledgeable. Would recommend Dr. Kuruvilla to anyone.

Great doctor. Apparently this office has great doctors because it is constantly busy.

Excellent doctor that's committed to his patients, I've been seeing him since 2010 and he is the best.

he is great !

He's always very friendly

Not the normal experience I have had in the past. Maybe just a busy day.

He was knowledgeable, approachable, and friendly.

He is a very understanding doctor, he explains everything to you and make sure you understand

Dr Kuruvilla is a great Dr! I forgot to thank him again for the treatment he gave me that stopped my tarsal tunnel, thank you Dr Kuruvilla for being a wonderful dr!

I love this office. Dr. K and his PA were very considerate and quickly identified my issue. I'm always treated with respect at Advanced Orthopedics.

he's the Best!!! Excellent Dr, and very thorough

Thank you for the love n care n for being very attentive to my needs and for your listening ear and also the ease to my anxiety.Thanku so very much

Very nice guy

I had a wonderful experience with Dr.K. and his team. He thoroughly explained my injury, treatment options, and the healing process. My treatment took about four months. I highly recommend them.

Great and nice

The guy is just phenomenal!

My Dr is the best

Very nice and accommodating. Highly recommend him.

Very pleased with every interaction with Dr. K. Explained the surgery on my foot before and after. Would highly recommend him.

The Best !

friendly, confident, efficient

Dr. Kuruvilla was very thorough, knowledgeable, kind, and made sure all of my questions were answered.

Good service

On time as usual. Very good listener. Takes time to explain the cause of the problem, your options, and what he recommends. Great visit.

Very courteous and professional.

Dr. K he’s very kind, polite and attentive. I like seeing him.

Very friendly. Creates comfort and ease.

After suffering a fall and an injury to my ankle, Dr. K and his staff have been absolutely amazing. He has handled my surgery and follow ups and he has made me feel comfortable every step of the way. First time I have dealt with a medical team that I have never had issues with! Thank you Dr. K!

Very friendly and professional!!! Answered all my questions

Just the first visit, but I was impressed with Dr. K and his staff. They were all knowledgeable and friendly, and answered my questions.

Very good bedside manner

Best Orthopedic Surgeon ever!! Thank you

Very good Doctor and staff. Really cares about the patient.

Dr Kuruvilla was extremely pleasant. Very knowledgeable and efficient

he is a great doctor

Very Professional, well manner,and respect, ORTHOPEDICS.

The BEST!!

A true professional, compassionate, focused and just an outstanding doctor.

He is very bright, professional and personable!

Super doc! Very professional, smart & caring!

He’s a very nice Doctor, that took time with both myself and my wife.

Best Dr.,

Very kind. Staff is great here too.

Awesome bedside manner. Very calming and knowledgeable.

He was very cordial and take care of my problems quickly. I will keep going back to him as I feel he cares about his patients.

Great Dr

Very personable and an excellent doctor.

Good guy

Only met doctor a few times, but I am very comfortable he has my best interest at heart

Excellent surgery, quick recovery!

Dr K. is great! His staff are efficient, friendly and attentive. They never seem to be 'short staffed' like so many offices are. Thanks for treating patients and employees well.

Best doctor every. I can't wait to see him each time I go in. Excellent....

What a kind & caring Doctor I was treated by. A terrific experience & am anxious to return for my Sept appointment.

Dr. Kuruvilla was kind, informative and I am comfortable scheduling a procedure in the near future.

Very knowledgeable and friendly.

Very easy to trust

Dr. was quick and efficient. Perhaps a bit too quick. He slapped a bandage on the affected spot and told me to order more on Amazon and was ready to leave the room. I saw a flash of impatience at my question about the Xray and if it showed any infection. I guess It was understandable. You have a very busy practice.

the best doctor ever

HE IS GOOD

Explained treatment options clearly

Takes time with his patients.

Was very impressed on how described the issues with my ankle and look forward to his further comments and recommendations.

Very nice, explained everything well.

Dr. K is top notch in his approach, explanation of options and efficiency! Advanced Ortho doctors, radiology, PA's and surgical teams don't miss any details.

I was very impressed how friendly and professional he was. Explained what he was going to do and told me how to help fix the problem. Gave me printout of what I need to order. Very pleased

First meeting and I was very pleased.

Phenomenal!

Extremely friendly, knowledgeable, and nice!

So far so good! Kept it simple and efficient.

Dr K is awesome! Very friendly and definitely great at his job!

I am impress with the excellent service!

Very attentive and professional

Very nice, great ideas to help out with pain Assistant was very nice as well

I love Dr. K he is very friendly, he listens, not rushed, he made me feel like family.

Really enjoyed Dr. K. Very easy to talk to and easy to understand,

Dr. Kuruvilla is the best at what he does. Very knowledgeable, professional and very nice.

I am so very glad to have finally found Dr. Kuruvilla. After seeking many others for help for almost two years, I am finally healed and pain free today. Dr. Kuruvilla sent me to the BEST Physical Therapist, Orthotics Center and gave me a shot that I never even felt for one second. He is excellent in his field.

Dr K is always very thorough and friendly, you never feel rushed.

Competent health professional

He didn't spend much time; just said that i should see one og two Charco foot surgeons; One , the Ira Weiner, was one of his two recommended doctors; Dr. Weiner is a butcher, and I have 3 other specialist the concurred about Dr. Weiner. I could not recommend Thomman Kurvilla

Dr is detailed and answers all questions.

Dr. Kuravilla is very courteous and professional and he takes good care of my 92 year old feet!

excellent, no nonsense.

Excellent care

Doesn't take his time to listen.

The whole staff is tremendous

Excellent Doctor. He immediately diagnosed my problem and had me walking pain free within 24 hrs.

No follow up after surgery. Seems to be in a hurry when I see him. I am sure the mechanics of the surgery are very good but the follow up with me as a patient ???

I was taken in right on time for my appointment. A very sweet MA took down all feet concerns, then a very kind and polite technician took thorough xrays of both feet. Something that hasn't been done before. Everything was ready for when Dr. K came in. He was very knowledgeable and listened to everything I said without talking over me. We came up with a plan and I feel confident I am going to be taken care of

Great Personality

Excellent bedside manner and great work on my foot. No pain afterwards. Couldn't be more pleased.

As always Dr. K and his staff were wonderful.

Pleasant, very knowledgeable, good listener, from NYC

Thanks

Dr. K is amazing. The whole process from start to now has been wonderful. He is so kind and did a fantastic job on my ankle.

Great informative dr.

Always friendly and informative

great doctor

Great doctor

Dr K is one of the best.

Very personable and helpful

Compassionate, professional and just a super doctor.

Excellent care! Dr. K listened to my concerns and addressed them. He was very careful and patient with my injury. He was helpful in recommending extra PT for me.

He looks like a college grad!!

Great kind Dr very knowledgeable, and punctual

I think he did the right thing putting me in a boot. Seems to be helping.

Dr. K is awesome. Very professional and easy to talk to.

Very professional and kind

Very polite & knowledgeable.

Dr. K is an excellent physician.

He has great energy and wants to make sure the right thing is done by the patient.

Friendly, and smart. completely trust him.

Great Dr. so kind and really makes you feel so comfortable. I give him a 10plus

Super thorough and quick. Bre his surgery scheduler is fantastic and exceeds expectations for personalized care.

Fantastic doc. Fantastic staff. Always feel my health is important to them.

He is wonderful. The people that answer the phone are not. They just never answer. His Assistant is no where to be found. Called Friday, 7/2 and again to day 7/5/ - NO CALL BACK. - I need physical therapy and the place that Doctor K referred me won't take my insurance. What's up. Everyone on vacation.

Dr K is a fantastic orthopedic doctor. Polite, friendly, and dependable.

I have been a patient of Dr.K’s since 2013. He is amazing! I would recommend him to any of my friends or family.

He explained our concerns very well.

Very smart man who knew exactly what I needed and was quick and professional and I was not there long at all! I will be going back when needed!

He is so honest with the patients and I love that. Specially my Arthritis I deserve always the best for me. Thanks doctor

He is an amazing doctor and truly cares about his patients. He is the reason I still have my 2 feet and 10 toes.

Wait time was unreasonable & no explanation or apology received.

Dr K is the best!!! I have been a patient for over 5 years. He's always upbeat, efficient and knowledgeable. I am very confident in his level of skill and his use of stem cell therapy. I ALWAYS refer him to friends.

Very kind man.

Excellent dr I’m his patien

Great Doctor!

In & out but seemed professional

My experience was fantastic. Dr Kuruvilla is the best as well as his staff.

Friendly and great at giving you the facts of your case and your options

Answered all my questions with much detail.

Friendly and precise

Top Rate, objective and thorough

This is my second visit with him and I enjoy that he actually takes the time to listen to you not to many doctors do that anymore they try to get you in and out

Great doctor.

Thank you fo the greater care you thid

always listen to what i have to say , very professional.

Compassion, friendly and medically concerned... not to mention very easy on the eyes..??

He cares about what your problem is

Very helpful and caring!

Quick and to the point. Very friendly.

I found my podiatrist!

Dr Kuruvilla is one of the most personable doctors I have ever met. He is thorough. He takes his time with each patient. Not to mention his staff is fantastic also.

Dr. Kuruvilla was thorough and explained what he believed to be the issues and provided details of what to expect next with potential outcomes and treatment options.

Great Doctor

Very caring and does an excellent job in explaining procedures

Dr. Kuruvilla is a compassionate person that is excellent at what he does and actually cares about his patients.

Entire staff fabulous.

Excellent doctor. Very knowledgeable, patient, concerned, caring. So glad I found him.

I have had this pain 24/7 for three years. Dr Kuruvilla was the first doctor that cared and took real interest in my pain and situation. I give him 10 stars. Don't let this doctor go, he is the best.

Dr. K is seriously such an amazing dr. He is so kind. I never feel like he doesn't listen to me.

I had more questions for the Doctor. About my condition and treatment. The Doctor gave me some medication and after left and sent in the medical assistant without asking me if I had further questions.

He quickly and professionally discovered the reason why my right knee and ankle were popping when I arose from sitting or lying down. I was afraid that a bone was broken, but it was a long tendon instead.

Has my confident my ankle is going to be ok. It’s damaged butI feel good about it healing or repaired

always listen to what to have to say about your injury!! shows caring for your health.

Very positive. Made me feel comfortable. I reallly liked him and would certainly recommend him to everyone.

I am very glad that I went to see Doctor Kuruvilla. He was referred by two other Doctors locally. He explained a lot and I feel confident that he will help me get back on my feet again.

Hands down one of the best doctors I've encountered in Vegas. Very knowledgable and actually takes the time to listen and address your concerns. Highly recommended!!

vERY pROFESSIOAL AND GREAT

Always great

In and out in about less than 5 minutes with me but was kind. Hoping it’ll get more info/time when my mri results come in.

Professional. Caring. Listens to what you say (hears what you are concerned about). Find a solution to what you need.

Very compassionate and caring

Dr. Kuruvilla is professional and courteous. He makes sure that we understand everything that is going on.

Great guy

Exactly two months after surgery, I feel great and you can barely tell a surgery was even performed. Dr K and his team have been wonderful from the start.

Incredibly knowledgeable & the treatments I have received over the last year have all been effective. Would highly recommend. His staff is efficient .

Proficient, efficient, effective, professional, and kind.

Good explanation

He is great, easy to talk to he take his time with me.

Love Dr. K and his staff. He doesn’t rush. He fixed my foot and told me just how the recovery would be and what to expect. It was long, but spot on to what he said.

Dr. Kuruvilla was very professional and helped me with a surgical decision for the benefit of my foot that I was struggling with.

Dr k is awesome he is fast efficient and he really cares about his pt. I do not like needles and barely notice when I have to get my shots cause he genuinely keeps me distracted. He remember things about me and asks about them at visits. He also is watching for clues about my recovery every time I walk in the office. he notices things about my ankle I don't or cant put into words.

Great explanation and involved the child!

So far so good.

Thorough and very nice!

Quick and easy! Very knowledgeable!

Great first time experience.

Exceptional doctor.

Awesome experience every time.

Nice and caring as usual!

He is super nice friendly with great knowledge that I was able to trust and decided to have a surgery right away .

Dr Kuruvilla was great. Thoughtful, compassionate, and thorough!

Thank you!

Great

Excellent doctor. Tell's it straight. Easy to work with on solutions to your medical issue.

He is perfect for your teenagers. His casual demeanor about such a serious matter is calming and really helped my son feel like he was in good hands and that wearing his walking cast for longer than he would like would be worth it.

Does NOT make you feel like a number. Thank you Dr. K.!!!

Really professional

Great Doctor.. Seem to care about his patients. KEEP THE.GOOD WORK DR K.

He makes me feel good when I leave him, I am always thinking he’s going to be mad about the way my foot looks but he is so nice and said it’s fine just keep it soft with lotion more often.

Super friendly and caring doctor.

He is wonderful...very informative...will spend extra time to always explain things to my understanding. His staff is top notch...very understanding.

Dr. K He’s great he took great care of me thank you Dr. K

Every Doctor at the facility of AOSM that I have had contact with is beyond excellent! I have been a patient for some 8 years, and these professionals are exceptional!

Nice and thorough. Takes time for questions. Intelligence about surgery procedures. I will recommend him to anyone needing foot surgery.

cool guy and very knowledgeable. explained everything in a way i could understand.

Very pleasant and professional.

Very friendly,professional, seems like he is really concerned with the comfort and how the repair feels to you. Even when I have said it’s all ok, Dr K gives you that look and says no let’s keep up the therapy will see you in 30 days.Its nice not feeling like a #,but a person with feelings.Thanks Dr K

The best Podiatrist and Surgeon, very caring and compassionate. I highly recommend him!

Excellent, compassionate doctor that is on point with his diagnosis and treatment.

Always friendly and informative

Great

Wonderful doctor. Takes time to discuss all relevant issues. Great bedside manner. Highly recommend this doctor.

Great experience! Very knowledgeable and helpful.

Very nice and respectful!!

Couldn’t have ask for the best Dr and staff. There the greatest

THE DOCTOR IS VERY NICE AND CARING THE OFFICE STAFF ARE VERY POLITE AND FRIENDLY

Dr. K has been great so far! Great bedside manner. No complaints at all here.

Dr. K is awesome! He saw me every step of the way. Did am awesome job on my surgery! Thank you very much, Dr. K.

Dr. Kuruvilla is a great surgeon and wonderful doctor. I was having ankle and foot issues for years before coming to him and he is the only one that found the actual issue and resolved it.

Dr. K is great

Dr. Kuruvilla was very personable. He took the time to explain everything to me in detail along with what course of treatment and why he was choosing each thing. I would highly recommend Dr. Kuruvilla and his staff!

Was the best outcome I ever could have imagined

So far so good, I’ve only had a consultation so far, but I really liked my doctor.

Dr. Kuruvilla was recommended by two friends. I agree with their praise. He is very professional, efficient, and has the ability to explain diagnoses and procedures in layman's terms. He seems to have solved my problem.

Very Nice and Caring Doctor.

Dr k is the best

Explained everything well. Very cordial!

I love that he introduced himself with a smile! He made me feel comfortable, but that shot hurt! 🙄

Very friendly but professional. And a very good and caring surgeon!!!

GREAT doctor.

Fantastic Dr.

I was very pleased with Dr. Kuruvilla service. He Diagnosed my injury immediately and began treatment of my ankle I would highly recommend him to anyone and will definitely be using him as my orthopedic in the future if it becomes necessary

The most efficient medical I have ever been to Dr K is the best

Best doctor in town

Great bedside manner. Couldn’t be happier with his service.

As always very professional and on time. Great advice and very well educated.

Love Dr. Kuruvilla & his staff!

Great Doctor who explains things well and is efficient.

Perfect follow up He was listen all the time patient concerns. Thank you DR.!!!!!!

Awesome doctor. Very knowledgeable and easy to talk to.

Dr K is AWESOME

Excellent Dr.

He is exvellent

Trust and comfort are the two most important factors in my dealings with “healthcare” and Dr. Kuruvilla embraces them both. Thank you.

I love my doctor!

Very kind doctor.

I love him.

Made me feel very confident that I was I was in good hands.

Dr k is one of netherworld best doctors I’ve ever seen. I wouldn’t hesitate to recommend him to anyone

Follow up was thorough and everything was explained. All my questions were answered to my satisfaction!

He was very helpful, in explaining what maybe wrong with my ankle

The best always very accurate and polite .I always recommend him to people . He’s the best

He was professional and took the time to explain the presejure.

Good bed side manner was interested in helping me out

Very caring. Explains everything clearly and in easy to understand language. Answered all my quedtions and did a great job repairing my mangled toe. Thank you so very much.

Very nice office

always take care of his patient

I trust his expertise. Excellent surgeon!

I’ve had an overall great experience. Easy quick appointments. Dr Kuruvilla is easy to talk to. He’s always kind and attentive.

Knowledgeable, personable and helpful.

Excellent. He is a great health care provider.

Not very personable in and out in 5 seconds maybe 2 didnt even take the time to ask how I broke my foot

He was Gracious, Friendly attentive and Answer all my Question with very clear and for me to understand well.

He's down to earth, funny and so efficient. Truly grateful to have him as my Dr.

A nice person

Excellent

He was very thorough asking questions to determine the cause of the problem. Great demeanor, while also professional. I feel confident he'll resolve the challenge I'm going thru.

Seemed nice and knowledgeable

He is just outstanding

Great!

Thanks for looking at me The best

best

Great communication Would highly recommend

Dr. Kuruvilla was very courteous and I look forward to him treating me in the future.

He could not look at me because my foot was not the problem and he only looks at feet.. I should have never been sent to him for my problem in the first place!!!

His awesome takes the time to ask me questions, how I’m feeling & if I need anything give him a call! Thank you Dr Kuruvilla!

He was really polite thanks Dr

Dr K

Very professional and informative

Caring and knowledgeable

Friendly well mannered professional but I wish he would have been more informative a little more insightful after been given information on my other body issues .

So far so good. He's clear and concise. He has a pleasant demeanor.

Thank you Dr K for the support you are giving me with my foot you a amazing person thanks

Fast efficient and direct

prescribed an antibiotic for me after I told him I was allergic to that antibiotic.

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I was confused by the treatment prescribed. When I asked to speak to the doctor again, a manager came in and made me feel as if I was in the wrong for needing clarification.

Needs to show the patient there X-Raysand explain to them a little bit more on what’s going on. Also go over all of the patient options

Very nice guy! Very knowledgeable and would recommend him

Dr. Kuruvilla is very professional and knowledgeable doctor. He were able to identify the problem right away . He just need to do personalize touch to his patient, like spending time to talk to his patient and explain more all needed info.

He is a wonderful Dr. and always takes the time to see my concerns.

The doctor was great, I will go back

Didnt get any info for pain and instructions for boot and to combat increased swelling.

I’ve enjoyed having him as my doctor for several foot injuries and foot problems. I have learned I have arthritis in my ankle and would have liked to be referred to a rheumatologist. I’ll have to find one on my own.

Very efficient

Dr. Kuruvilla was an absolute professional. He had my issue identified and began treatment during our first session.

I hope Dr. Kuruvilla is so incredibly gifted and talented that he can solve my foot pain problem in just five minutes, because that's about how long my initial visit with him was (followed by several weeks of waiting for the rest of it).

Dr. Kuruvilla has been treating multiple fractures in my foot and ankle. I am able to walk again and continue my recovery thanks to his knowledge and expertise in repairing my injuries.

Dr. Kuruvilla is a genius and took care of a serious problem quickly.

Very knowledgeable and caring. I feel like he listens to my concerns and answers my questions.

Great Doctor, would highly recommend him to anyone!

VERY GOOD DOCTOR.

Straight, calm, confident, reassuring

Dr kuruvilla is a excellent orthopedic,he help me to walk again

Dr. Kuruvilla’s bed side manner was excellent & he explained my bunionectomy surgery well. I would recommend him

Thank you for your help!

Awesome doc. Highly recommended.

Answered ALL my questions. Gave me some invaluable information.

I feel very fortunate to have had Dr. Kuruvilla as my surgeon. I never waited more than 10

Excellent bedside manners!

Super fast and easy to see I suggest you make appointments online it was very easy and he is always pleasent to deal with