Meet the Team

Meet Dr. Byron Garibaldi, physician-owner and emergency medicine physician at Fort Smith ER & Hospital. He began his professional medical career after he graduated with honors from Baylor University. He then obtained his Medical Doctorate at the University of Texas Medical Branch in Galveston and completed his residency at the University of Kansas-Wichita branch at the St. Joseph Campus.

Over his tenure, he has worked the past 27 years in emergency medicine, predominantly in Northwest Arkansas at Washington Regional Medical Center and Springdale’s NW Medical Center.

His hobbies include traveling, fishing, supporting the Kansas City Royals AA – NW Arkansas Naturals baseball team, and having a wonderful time with his wife and kids.

Meet Dr. Doug Coffman, physician-owner and emergency medicine physician at Fort Smith ER & Hospital. He began his professional medical career after he graduated from Baylor University. He then completed medical school at The University North Texas Health Science Center and his residency at Oklahoma State University Emergency Medicine Hillcrest Health Center.

Over his tenure, he has served as a residency director at Southwest Medical Center Emergency Medicine and as medical director for over five years at St. Anthony Hospital Emergency Room.

In his time beyond the emergency room, Dr. Coffman enjoys being with his family – wife Llana, daughters Skye and Brie, son Baylor, and grandkids Saylor and Crew. He loves carpentry, building homes, and making furniture. He credits his entire career to the direction his Lord and Savior, Jesus Christ, provided.

Meet Dr. B Shane Holland, physician-owner and emergency medicine physician at Fort Smith ER & Hospital. He has practiced emergency medicine since 2004 and recently started his practice in functional medicine.

Fun fact – if he did not practice medicine, he would aspire to teach or own a coffee shop. His love for teaching stems from his prior career experience. Before returning to school to pursue medicine, Dr. Holland had the opportunity to teach history for four years. Also, he served as a teaching assistant during medical school and taught at The Arkansas College of Osteopathic Medicine when it opened.

Outside the world of medicine, he loves to hang out and travel with his wife of 31 years and his three kids – Recently, he became a grandfather. Dr. Holland loves to exercise, read, watch sports, meditate and pray, and try new coffees and brew in different ways. He enjoys working with sports teams in Northwest Arkansas, including the minor league baseball team, the Naturals.

Meet Dr. Steven Williams, physician-owner and emergency medicine physician at Fort Smith ER & Hospital. Dr. Williams holds over two decades of experience in emergency medicine.

Originally from Oklahoma, he completed his Bachelor of Science degree in Biology at Northeastern State University. Then he completed his Doctorate in Osteopathic Medicine from Oklahoma State University and his Residency in Emergency Medicine at Michigan State University. Also, he is a long time fellow of the American College of Emergency Physicians. In his tenure, he has practiced emergency medicine in Missouri, Arkansas, and Oklahoma.

In addition, Dr. Williams has over twenty years of service in the US Army, Army Reserves and Army National Guard.

Currently, he and his wife live on a farm in Southwest Missouri and have four children.

Meet Dr. Jeremy Sturgell, physician-owner and emergency medicine physician at Fort Smith ER & Hospital. He received his undergraduate degrees in Biology and Chemistry at Missouri Southern State University. He then received his medical degree from the University of Missouri-Columbia School of Medicine.

Next, Dr. Sturgell completed an emergency medicine residency at the University of Illinois. In his tenure, he has gained extensive experience, being an emergency department medical director for 15 years, an EMS medical director, a hospice medical director, and a stroke program medical director. He has been recognized twice as “Healthcare Provider of the Year” in his home county of Southwest Missouri. Dr. Sturgell is an active fellow of the American College of Emergency Physicians and the American Academy of Emergency Physicians.

In his free time, he enjoys spending time with his wife and kids as well as watching sports.

Meet Dr. John Weddle, physician-owner and emergency medicine physician at Fort Smith ER & Hospital. After graduating from Sallisaw High School in 1985, Dr. Weddle attended OSU in Stillwater and then completed his medical training at OSU-COM in Tulsa in 1994. He then completed his residency in emergency medicine, finishing in 1998 and returning home to Sequoyah County.

Dr. Weddle has worked in many local and regional hospitals in the area, with many interests outside medicine, including ranching, cycling, fishing, and spending time with his daughters.

He and his wife, Bobbie, have made their home and raised their family in the community, and they look forward to being able to care for friends and family here at Fort Smith ER and Hospital for many years to come.

Meet Dr. Donald Tribbey, physician-owner and emergency room physician at Fort Smith ER & Hospital. Dr. Tribbey received his bachelor’s degree from The University of Arkansas. Upon completing undergrad, he discovered his passion for delivering prehospital emergency care and received certification in EMT and paramedics. Then, he received his medical degree from The University of North Texas Health Science Center. After that, he completed his Emergency Medicine Residency at Michigan State University, where he held the position of Chief Emergency Medicine Resident and Chief House Staff Officer.

With over 22 years of experience in the field, Dr. Tribbey is proud to be a board-certified member in emergency medicine by the American Osteopathic Board of Emergency Medicine and a fellow of the American College of Emergency Physicians.

Beyond the hospital, Dr. Tribbey favorite hobbies are hunting, fishing, and spending time with his wife, Cynthia, and their three children on their farm in SW Missouri.

Meet Dr. Glen McSpadden, physician-owner and emergency medicine physician at Fort Smith ER & Hospital. He received his Bachelor of Science degree in Biology from Harding University. He then obtained his Doctor of Medicine degree from the University of Arkansas for Medical Sciences in 2002 and completed his residency in family medicine in Fort Smith.

Dr. McSpadden has practiced emergency medicine full-time since 2009 and worked at several ERs in Northwest Arkansas, including seven years at Washington Regional Medical Center.

Dr. McSpadden met his wife, Lisa, when they studied abroad in Florence, Italy, for a semester in undergrad. They have been married for twenty-seven years and blessed with four amazing boys. Dr. McSpadden enjoys taking trips and spending any time he can with his wife and boys. His hobbies include mountain bike riding and fishing with his family.

Meet Dr. Mark Brown, physician-owner and emergency medicine physician at Fort Smith ER & Hospital. Originally from southeast Kansas, he started his 20-year+ medical career as a ground and air EMS. Dr. Brown graduated from Pittsburg State University with a bachelor’s degree in biology and chemistry. After that, he attended A.T. Still University, the Kirksville College of Osteopathic Medicine, where he earned his medical degree and completed an Osteopathic internship followed by an Emergency Medicine residency.

As a board-certified emergency medicine physician, Dr. Brown has served as core faculty for the emergency medicine residency in Joplin, where he won ‘Teaching Attending of the Year’ in 2016, served as a fellow of the American College of Emergency Physicians, and served as medical director for various EMS and fire services in southwest Missouri.

When Dr. Brown is not working, he enjoys outdoor activities with his family.

Meet Dr. Mark Rucker, physician-owner and emergency medicine physician at Fort Smith ER & Hospital. Dr. Rucker was born in raised in Kansas City. He studied chemistry at Rockhurst College and then received his medical degree from The University of Kansas Medical School. He has practiced emergency medicine for over 28 years.

Dr. Rucker and his wife have been together since high school – 32 years – and have three children that are proud to carry on their family legacy. He loves to travel and share valuable experiences with his family. His family’s focus is to optimize health and grow spiritually.

Meet Crystal Restine, the Chief Nursing Officer at Fort Smith ER & Hospital. She holds over 20 years of experience in senior management positions and improving practices and processes in acute care hospitals. Throughout her career, she has been a leader and mentor within various hospital departments. Crystal received her Master of Business Administration from Oklahoma Wesleyan University.  

In her free time, Crystal spends time with her husband and enjoys traveling, trying new restaurants, shopping, and exercising. She loves spending time at the beach, but you will generally find her at a baseball field, where she has spent many days cheering on her boys.

Meet Becky Stallings, the facilities administrator at Fort Smith ER & Hospital. Born and raised in Southeast Oklahoma, Becky has always had a huge heart for the beautiful area and the people in the community. With over 16 years of business experience, she transitioned from banking into healthcare just a few years ago.

During her downtime, Becky enjoys spending time with family and friends, pretty weather, and mowing the yard. She loves to catch a good concert or an Oklahoma Sooners ball game any chance she gets. Becky finds happiness in the little things in life and looks to spread joy any chance she can.

Meet Miranda Palmer, the Director of Marketing at Fort Smith ER & Hospital. Born and raised in Poteau, Southeast Oklahoma. Miranda received her Associate of Applied Science-Radiologic Technology degree from Carl Albert State College and a Bachelor of Science degree from The University of Arkansas Fort Smith. In addition to medical education, Miranda has a strong passion and love for marketing.

In her time off work, she spends time with her husband and beautiful twin girls – the Twincesses. Miranda enjoys bike riding and watching her husband race at the dirt racetracks around the region. She loves helping people receive the best possible healthcare and spends ample time volunteering at her home church.

Brandon Vick is a dedicated Emergency Medicine physician with a passion for providing exceptional care to communities across Arkansas. A proud native of Van Buren, Dr. Vick graduated with honors from the University of Arkansas-Fort Smith with a Bachelor of Science in Biology. His pursuit of medicine led him to earn a Medical Doctorate from the American University of the Caribbean School of Medicine, where he also had the unique opportunity to study abroad in the United Kingdom near London, England. His commitment to healthcare continued with a Fellowship in Wilderness Medicine through the Academy of Wilderness Medicine and a residency with the University of Arkansas for Medical Sciences.

Dr. Vick has been practicing emergency medicine since 2018 and has worked in multiple emergency departments across the River Valley, Northwest Arkansas, Russellville, and rural areas of the state, providing vital care in diverse and sometimes underserved communities.

In addition to his clinical work, he has served as the assistant team physician for the Arkansas Naturals, a minor league baseball team, further demonstrating his versatility and commitment to sports medicine.

Outside of medicine, Dr. Vick is a devoted family man. He enjoys spending time with his wife, Shana, and their children, Everley, Oliver, and Jasper. When he’s not with his family, he enjoys playing golf, watching tournaments like The Masters and the Ryder Cup, and traveling with his dad to PGA events. He is also an avid sports fan, cheering for the Arkansas Razorbacks, St. Louis Cardinals, and Dallas Cowboys.