Graduated: 1996
NPI: 1043357577
Practice Locations (3)
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
DLP CONEMAUGH PHYSICIAN PRACTICES LLC
1111 FRANKLIN ST
JOHNSTOWN, PA 159054341
DLP CONEMAUGH PHYSICIAN PRACTICES LLC
3670 PORTAGE ST, SUITE 105
PORTAGE, PA 159466546
8147369614
Source: CMS National Downloadable File, September 2026.