Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2001
NPI: 1053483644
Practice Locations (1)
WPS PROVIDERS INC
2202 N JOHN B DENNIS HWY, SUITE 110
KINGSPORT, TN 376605904
4235788400
Source: CMS National Downloadable File, September 2026.