Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1967
Offers telehealth
NPI: 1003973165
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
9642 BURKE LAKE RD
BURKE, VA 220153052
7035437920
1313 DOLLEY MADISON BLVD
MC LEAN, VA 221013926
7038211677
Source: CMS National Downloadable File, September 2026.