Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 1991
NPI: 1013950740
Practice Locations (1)
CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC
6719 GOVERNOR GC PEERY HWY, SUITE 1000
RICHLANDS, VA 246410280
2765966715
Source: CMS National Downloadable File, September 2026.