Graduated: 1993
NPI: 1053495192
Practice Locations (2)
CHARLES COLE MEMORIAL HOSPITAL
1001 E 2ND ST
COUDERSPORT, PA 169158161
UPMC WELLSBORO
32 -36 CENTRAL AVE
WELLSBORO, PA 169011840
5707230100
Source: CMS National Downloadable File, September 2026.