Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1979
Offers telehealth
NPI: 1063523512
Practice Locations (2)
500 STRADER RD, NORTHGATE BUSINESS PARK
Charleston, WV 253111581
500 STRADER RD
CHARLESTON, WV 253111581
3043456303
Source: CMS National Downloadable File, September 2026.