Medical school: NATIONAL UNIVERSITY OF ARTS AND SCIENCES, MEDICAL DEPARTMENT
Graduated: 1978
NPI: 1063487205
Practice Locations (2)
715 LITTLE DEER CREEK VALLEY RD
RUSSELLTON, PA 150760064
715 LITTLE DEER CREEK VALLEY RD
RUSSELLTON, PA 150761312
7242652100
Source: CMS National Downloadable File, September 2026.