I absolutely adore Dr. Howse! He is personable, easy to talk to, and isn’t big on the bs. The only reason I cannot give him 5 stars is because I dread his office staff… His nurse is awesome and returns phone calls quickly & efficiently. But if you call for an appointment or check in it is like no one was trained in how to be friendly to the patients… The staff is not abusive or unresponsive, just not overly friendly. If you are going to stick a needle in my ass or ask me for a co-pay a smile really shouldn’t be too much to ask for, right?